82 results about "Graft portion" patented technology

There is described a prosthetic valve to be inserted into a body lumen, the valve having leaflets that are spread apart during forward flow of fluid to create an orifice, and the leaflets coming into contact with each other during reverse flow of fluid, thereby impeding the reverse flow of fluid, the valve comprising: a hollow, cylindrical stent having an inner surface and an outer surface, and having a first and a second open end; and valve means formed from a single tubular membrane, the membrane mounted to the stent, the membrane having a graft portion internally folded and bonded to itself at a plurality of points to form pouches such that the leaflets extend from the pouches, and a sleeve portion on an outer surface of the stent to secure the membrane thereto.

There is described a prosthetic valve to be inserted into a body lumen, the valve having leaflets that are spread apart during forward flow of fluid to create an orifice, and the leaflets coming into contact with each other during reverse flow of fluid, thereby impeding the reverse flow of fluid, the valve comprising: a hollow, cylindrical stent having an inner surface and an outer surface, and having a first and a second open end; and valve means formed from a single tubular membrane, the membrane mounted to the stent, the membrane having a graft portion internally folded and bonded to itself at a plurality of points to form pouches such that the leaflets extend from the pouches, and a sleeve portion on an outer surface of the stent to secure the membrane thereto.

Vascular access systems for performing hemodialysis are disclosed. The vascular access system contemplates a catheter section adapted for insertion into a vein and a graft section adapted for attachment to an artery. The catheter section may have metal or polymer wall reinforcements that allow the use of thin-walled, small outer diameter conduits for the vascular access system. One or more of the adhered, embedded or bonded conduit reinforcement structures may be removable without significant damage to the conduit sections to facilitate attachment of the sections, or to a connector between the sections. Various self-sealing materials are provided for use in the vascular access system, as well as temporary access sites and flow control / sensor systems.

Disclosed is a stent graft prosthesis comprising a graft portion that includes a main body portion and an cuff portion, the cuff portion generally located at or near the proximal end of the main body portion and extending circumferentially therealong. Stents comprising the graft supporting structure are also attached to graft portion about the proximal end. In one embodiment, the cuff portion comprises material that is folded over the outside surface of the main body portion with an anchoring stent being attached over the cuff and main body portions, extending proximally therefrom. In another series of embodiments, the cuff portion comprises an external sealing zone that extends around the outer main body portion to help prevent leakage of fluids. In one example, the material of the second edge of the cuff portion is frayed to better engage the vessel walls and promote thrombus and / or tissue growth.

A method for replacing a portion of a target bone in a living body includes the steps of attaching one or more first markers to a target bone, establishing a medical three-dimensional representation of the target bone, performing a virtual resection of a resection portion, the virtual resection constructing a three-dimensional representation of the resection portion and a three-dimensional representation of the remaining target bone including cutting edges, providing a virtual pattern of the resection portion, obtaining an implant or graft portion for replacing the resection portion of the target bone by using the virtual pattern of the resection portion, resecting the resection portion from the target bone according to the virtual resection using the first reference system of coordinates and coupling the implant or graft portion to the target bone in a position substantially matching a position of the resection portion before the actual resection.

An intervertebral scaffolding system is provided having a central beam having a proximal portion having an end, a grafting portion having a top and a bottom, a distal portion having a end, a central beam axis, a graft distribution channel having an entry port at the end of the proximal portion, a top exit port at the top of the grafting portion, and a bottom exit port at the bottom of the grafting portion. These systems can also include a laterovertically-expanding frame operable for a reversible collapse from an expanded state into a collapsed state. The expanded state, for example, can be configured to have an open graft distribution window that at least substantially closes upon the reversible collapse.

A deployment catheter for deploying endoluminal vascular prosthesis that has at least a main graft portion and a first branch graft portion includes an elongate, flexible catheter body having a proximal end and a distal end and comprising an outer sheath and an inner core that is axially moveable with respect to the outer sheath. The catheter includes a main graft restraint that has a main graft release mechanism comprising a plurality of axially spaced restraint members. The catheter further includes a branch graft restraint comprising a branch graft release mechanism.

An intervertebral scaffolding system is provided having a central beam having a proximal portion having an end, a grafting portion having a top and a bottom, a distal portion having a end, a central beam axis, a graft distribution channel having an entry port at the end of the proximal portion, a top exit port at the top of the grafting portion, and a bottom exit port at the bottom of the grafting portion. These systems can also include a laterovertically-expanding frame operable for a reversible collapse from an expanded state into a collapsed state. The expanded state, for example, can be configured to have an open graft distribution window that at least substantially closes upon the reversible collapse.

A guidewire assembly for use in deploying a bifurcated endoluminal vascular prosthesis that has a main graft portion and at least a first branch graft portion The guidewire assembly include a hollow guidewire sheath having a restraint mechanism, such as a tubular sheath, for constraining a branch graft portion of the vascular prosthesis and an inner core wire that is slidably insertable into a central lumen of the hollow guidewire sheath. In use, the guidewire assembly may be used with a deployment catheter to deploy the bifurcated vascular prosthesis and leave the inner core wire in position in the patient's aorta, extending through the main graft portion of the vascular prosthesis.

A vascular graft includes a main portion and a branch portion that is coupled to the main portion by an articulating joint. The vascular graft may be inserted into the thoracic aorta with the branch portion positioned within a branch vessel and the main portion positioned within the thoracic aorta. The graft may be deployed within a deployment apparatus comprising an outer member and an inner member and a pusher. The main graft portion may be housed within the inner member while the branch graft portion is housed within the space between the inner and outer members. The inner member may have a longitudinal groove for allowing the articulating joint to pass by when the branch graft portion is deployed.

A system for distributing bone graft material in an intervertebral disc space is provided having a central beam having a proximal portion having an end, a grafting portion having a top and a bottom, a distal portion having a end, a central beam axis, a graft distribution channel having an entry port at the end of the proximal portion, a top exit port at the top of the grafting portion, and a bottom exit port at the bottom of the grafting portion. These systems can also include a laterovertically-expanding frame operable for a reversible collapse from an expanded state into a collapsed state. The expanded state, for example, can be configured to have an open graft distribution window that at least substantially closes upon the reversible collapse.

A deployment catheter for deploying an endoluminal vascular prosthesis that has at least a main graft portion and a first branch graft portion. The deployment catheter preferably comprises an elongate, flexible catheter body having a proximal end and a distal end, and an outer sheath and an inner core that is axially moveable with respect to the outer sheath. The catheter preferably comprises a main graft restraint that has a main graft release mechanism comprising a main graft sheath and a suture threaded through a plurality of the openings in the main graft sheath. The catheter further comprises at least one branch graft restraint comprising at least one branch graft release mechanism.

A system for treating stenosis in a target blood vessel, such as the common carotid artery, comprising a graft portion having a main portion and a branch portion extending therefrom. The branch portion extends from the intermediate portion of the main portion at an angle thereto and is in fluid communication with the main portion. A first stent is associated with the main portion and is expandable from a first configuration to a second configuration to retain the main portion in position within the target vessel. A second stent is associated with the branch portion and is expandable from a first configuration to a second configuration to retain the branch portion in position within a branching vessel. In one embodiment, the branch portion is integral with the main portion. In an alternate embodiment the branch portion is connected to the main portion.

An aortic graft device ( 10 ) is provided with a graft portion ( 12 ) integrally fixed to a corrugated trunk portion ( 14 ). A fixing ring ( 16 ) is provided between the graft and trunk portions. The trunk portion ( 14 ) can be everted into the graft portion, leaving the fixing ring ( 16 ) at an extremity of the device for suturing purposes. The fixing ring ( 16 ) is preferably made from a relatively stiff material such as a compressed foam or rubber like material, which provides a relatively solid component for a surgeon to hold during suturing and which can provide a strong support for sutures.

An endoluminal prosthesis comprises a tubular member having a proximal opening and a distal opening providing a lumen through which body fluids may flow. The tubular member is constructed of a graft material. The tubular graft is formed of a first material such as a woven fiber or other suitable material for conducting fluid, and sections of a second material configured to extend or contract to permit the tubular graft to flex or straighten to conform to the anatomy in which it is deployed.

A device and method for the manufacture of medical devices, specifically, endovascular grafts, or sections thereof. Layers of fusible material are disposed upon a shape forming member and seams formed between the layers in a configuration that can produce inflatable channels in desired portions of the graft. After creation of the seams, the fusible material of the inflatable channels may be fixed while the channels are in an expanded state. A five axis robotic seam forming apparatus may be used to create the seams in the layers of fusible material.

Stent-grafts for treating thoracic aortic aneurysms and abdominal aortic aneurysms include graft portions having inflatable channels and graft extensions. The graft extensions include an undulating wire stent and porous, but substantially fluid impermeable, polytetrafluoroethylene (PTFE) graft materials.

A stent-graft with increased longitudinal flexibility that is deployed within a body lumen for supporting the lumen and repairing luminal aneurysms. In a preferred embodiment, the stent-graft is located and expanded within a blood vessel to repair aortic aneurysms. The stent-graft is comprised of an expandable stent portion, an expandable graft portion and at least one elongated rail. The stent portion and graft portion are moveable between the terminal ends of the rail(s) and relative to the rails so that it can conform to the shape of a vessel in which it is deployed. The stent-graft provides increased longitudinal flexibility within a vessel. Also, the stent-graft of the present invention does not kink after expansion, and thus, eliminates the potential for the graft portion occluding the blood flow lumen of the vessel in which it is deployed. Moreover, the wear on the graft is reduced and its longevity increased.

Some embodiments of an endoluminal prosthesis comprise a graft having a first end and a second end, a first stent positioned at a first end of the graft, the first stent comprising a plurality of proximal apices and a plurality of distal apices, a second stent positioned axially adjacent to the first stent comprising a plurality of proximal apices positioned at a first end of the second stent. In some embodiments, the first stent can be partially covered by the graft such that the proximal apices of the first stent are not covered by the graft. The distal apices of the first stent can be positioned approximately on a first or a second plane offset from the first plane. The second stent can be positioned relative to the first stent such that the plurality of proximal apices of the second stent are spaced apart from the plurality of distal apices of the first stent. Further, one or more of the proximal apices of the second stent can be positioned approximately on a third or a fourth plane. The distal apices of the first stent can be circumferentially offset from the proximal apices of the second stent.

A deployment catheter for deploying endoluminal vascular prosthesis that has at least a main graft portion and a first branch graft portion includes an elongate, flexible catheter body having a proximal end and a distal end and comprising an outer sheath and an inner core that is axially moveable with respect to the outer sheath. The catheter includes a main graft restraint that has a main graft release mechanism comprising a plurality of axially spaced restraint members. The catheter further includes a branch graft restraint comprising a branch graft release mechanism.

A vascular graft includes a main portion and a branch portion that is coupled to the main portion by an articulating joint. The vascular graft may be inserted into the thoracic aorta with the branch portion positioned within a branch vessel and the main portion positioned within the thoracic aorta. The graft may be deployed within a deployment apparatus comprising an outer member and an inner member and a pusher. The main graft portion may be housed within the inner member while the branch graft portion is housed within the space between the inner and outer members. The inner member may have a longitudinal groove for allowing the articulating joint to pass by when the branch graft portion is deployed.

An apparatus and method for fixing a selected graft relative to a selected anatomical portion. An anchor may be provided that may be interconnected with a selected graft portion that is operable to pass through a selected bore and then moved into an operable position to engage a selected portion of the bore to substantially eliminate the possibility of the graft moving in an unselected direction through the bore. In addition, a spacer member may be used to expand a selected portion of the graft to reduce localized stress and may increase ingrowth into a selected bony portion.

PCT No. PCT / JP98 / 05058 Sec. 371 Date Aug. 31, 1999 Sec. 102(e) Date Aug. 31, 1999 PCT Filed Nov. 10, 1998 PCT Pub. No. WO99 / 24487 PCT Pub. Date May 20, 1999A conductive roll to be used as a developing roll, a charging roll, a transfer roll or the like in an electrophotographic apparatus such as a copying machine, a printer or a facsimile, of the present invention comprises a base rubber layer formed on a peripheral surface of a shaft, an intermediate layer formed on a peripheral surface of the base rubber layer, and a surface layer formed on a peripheral surface of the intermediate layer, the surface layer being composed of a resin composition comprising: (A) a silicone-grafted acrylic polymer which comprises repeating units represented by the following general formula (1), wherein an acrylic polymer portion of the silicone-grafted acrylic polymer exclusive of a structural portion derived from a siloxane has a glass-transition temperature of -35 to 30 DEG C.: -(Y)k- -(Z)n-(1) (wherein Y is a structural portion derived from an acrylic monomer; Z is a structural portion derived from the acrylic monomer, which has a graft portion derived from a siloxane; k is a positive number of 1 to 3,000; and n is a positive number of 1 to 3,000); and (B) an isocyanate curing agent.

A vascular access device, for implantation at least partially below the skin of a patient to provide an arteriovenous fistula, includes a graft portion coupled to a catheter portion. The graft portion is sutured to an opening in an artery while the catheter portion is inserted into a vein so that its end lies within the vein downstream from the point of entry into the vein. The device may be comprised of ePTFE with an outer polyurethane coating or the graft portion may comprise ePTFE with an outer polyurethane coating and the catheter portion may comprise polyurethane. There may also be an inner polyurethane coating. Alternatively, the device may be comprised entirely of polyurethane.

The invention discloses a grafting method for renewing and rejuvenating an ancient tree. The grafting method comprises the steps of ridging before ancient tree grafting, wherein high-quality soil with the thickness about 25 cm is added at the position in the range of a circle which has the radius of 2 m by taking a trunk of the ancient tree as a circle center; grafting material selecting, wherein potted strong seedlings of one to three years old and plants with bent seedling trunks and well-developed root systems are selected; grafting time selecting, wherein sunny days from late March to mid April are selected; grafting portion selecting, wherein the portions which are located on the base of the tree trunk and are about 10 cm away from the ridged portion are selected. An inlaid-type multi-point inarching method is selected, multiple strong seedlings (the number is specifically determined according to the thickness of the trunk of the ancient tree) are inarched along the base of the ancient tree, and the plant spacing is about 20 cm. The growth and development conditions of the grafted seedlings and the recover condition of the tree are both good. The treated ancient tree can basically recover exuberant vitality and vigor in a short time of 1-2 years, and the rejuvenating effect is very obvious.

A coupling device (28) is formed of a double tubing (50) of a substantially non-porous membrane material, typically a conventional graft material, that is of inner and outer layers of membrane material (52, 54). The inner and outer layers (52, 54) are coupled by bridging rings (56, 58) which allow the layers (52, 54) to be spaced from one another in use. Attached to the inner and outer layers (52, 54) are first and second stents (60, 62). The stent (60) is located on the inside of the double tubing, while the stent (62) is located on the outside of the double tubing (50). The device (28) can expand in effect to ‘bulge’ and thus to fill the gaps to the vessel wall and to the stent-graft sections (24, 26). The device can provide reliable coupling of stent-grafts in vessels of varying diameter or in vessels inflicted with one or more aneurysms.