58 results about "Vascular graft" patented technology

An apparatus is provided for subcutaneous implantation in a patient using a tunneling instrument. The implantation apparatus comprises a vascular graft and a connector adapted to couple a distal end of the tunneling instrument and a proximal end of the graft. The connector comprises a tip, a first end of the tip configured to be received within the proximal end of the graft, a clip for securing the graft to the tip, and a coupler for a rotatable connection of the tip to the tunneling instrument such that the tip is rotatable about its longitudinal axis relative to the coupler to facilitate attachment of the graft to the tunneling instrument. The implantation apparatus may further comprise a removable sheath configured to substantially cover the length of the graft.

Therapeutic agents such as Prasugrel, a thienopyridine ADP receptor inhibitor, which inhibit ADP mediated signaling through the P2Y12 receptor, done or in combination with an angiotensin II receptor blocker (ARB) such as Losartan that specifically blocks the angiotensin II type 1 (AT1) receptors, have been shown to be effective in reducing thrombosis and stenosis of grafts, including vascular grafts and tissue engineered vascular grafts ("TEVGs") in multiple in vivo, and that the combination of a inhibitor of the purinergic receptors P2Y12 such as Prasugrel, with losartan, an angiotensin II type 1 receptor inhibitor, more than additively reduced the incidence of TEVG stenosis. In a preferred embodiment, a multi-dosing unit for treatment to reduce stenosis delivers a 2-week course of losartan and Prasugrel.

Synthetic hemocompatible vascular grafts manufactured from polyvinyl alcohol-based biomaterials containing crystalline segments of polyvinyl alcohol, which are long-term fully functioning vascular grafts that provide no activity towards immune systems in recognizing surfaces as foreign bodies that would normally lead to fibrosis, platelet activation and subsequent thrombi formation, and thus occlusion of the grafts.

The invention disclosure provides a composite compliant vascular graft for implantation in a host, which graft includes a tubular body having a lumen and a tubular wall surrounding the lumen made of a composite material, which is adapted to permit expansion of the tubular body from a native state to an expanded state and then to return to the native state in response to pressure changes in the lumen, which includes a mechanical component which is adapted to limit the expanded state, and a compliant component which is adapted to bias return of the tubular body to the native state.

The application discloses an anti-bending artificial blood vessel, which comprises an artificial blood vessel inner layer, a synthetic polymer anti-bending ring and an artificial blood vessel outer layer; the artificial blood vessel inner layer is a synthetic polymer tube body; the artificial blood vessel outer layer is a synthetic polymer fiber membrane; the shape of the synthetic polymer anti-bending ring is a non-equidistant spiral structure; the synthetic polymer anti-bending ring is wound on the outer wall of the artificial blood vessel inner layer, is between the artificial blood vessel inner layer and the artificial blood vessel outer layer, and is fixed by being covered by the artificial blood vessel inner layer and the artificial blood vessel outer layer. The application further discloses a preparation method of the artificial blood vessel. The application can make the artificial blood vessel to be bent by 180 degrees in a full ring without flat collapse and kinking, can ensure that the whole artificial blood vessel has good anti-bending performance, can effectively improve the anti-bending performance of the artificial blood vessel, and can effectively improve the compliance of the artificial blood vessel.

The application discloses a medical instrument technical field, and relates to an integrated type artificial blood vessel with a sinus, which comprises a tube part, a sinus-tube joint and a sinus part which are integrally woven and shaped, and the tube part and the sinus part have a same longitudinal axis, the sinus part has a dense structure which is composed of upper and lower layer fabric tissues which are connected with each other, and the connecting points are located at the overlapping positions of the upper and lower layer tissue points, the fabric coverage of the dense structure is 80%-95%, the upper and lower layer fabric tissues are both woven by a plurality of fabric tissues with a yarn density of not less than 80 root / cm, and the upper and lower layer fabric tissues both contain twill tissues. The application provides an integrated type artificial blood vessel with a sinus, which has a good sinus part form, a dense structure and good stability, the sinus part has a dense tissue structure, so that the elastic performance is ensured, the structure support is strong, the long-term radial overexpansion can be prevented, the service life of the artificial blood vessel and the autologous valve is prolonged, and the possibility of postoperative secondary intervention is reduced.

Described herein are bioengineered constructs and methods of producing the same. The constructs and methods disclosed herein can be applied towards, for example, the generation of vascular grafts to treat cardiovascular disease.

The disclosed concept includes the use of additive and / or subtractive manufacturing of mesoporous structures on two-dimensional sheets that are mechanically tunable, to provide a vascular graft that controls biodegradable graft host interactions, to improve graft patency and functionality long-term. The vascular graft includes the two-dimensional sheets in a rolled or tubular configuration to form a lumen wherein a surface and / or bulk modification is applied to the flat sheet. In addition, a plurality of mesoporous structures (e.g., gaps) are formed in the flat sheet using a subtractive manufacturing technique.

A vascular graft deployment tool can include a handle, an elongate mandrel positioned distal to the handle, a vascular graft at least partially disposed coaxially about the mandrel, a sheath assembly including a distal sheath portion and a proximal sheath portion, wherein the distal and proximal sheath portions are configured to constrain the vascular graft against the mandrel at an insertion diameter, and an actuator movable relative to the handle and engaging the sheath assembly, wherein operation of the actuator causes at least one of the distal and proximal sheath portions to longitudinally separate to free at least a portion of the vascular graft. Further, the vascular graft is expandable from an insertion state to a deployed state, and at least two suture envelopes are positioned between opposite end portions of the vascular graft.

The disclosure relates to compositions and methods for reducing SMAD3 expression in a blood vessel in a patient in need thereof. Also provided herein are compositions and methods for reducing blood vessel graft stenosis in a subject, preventing occlusion of a blood vessel or a blood vessel graft, reducing neointimal hyperplasia in a blood vessel or a blood vessel graft, increasing endothelization in a blood vessel or a blood vessel graft, increasing patency in a blood vessel or a blood vessel graft, reducing endothelial to mesenchymal transition (EndMT) in a blood vessel or a blood vessel graft, reducing thrombosis in in a blood vessel or a blood vessel graft and / or reducing TGF-beta signaling in a blood vessel or a blood vessel graft. In embodiments, the patient is undergoing arterio-venous fistula (AVF) surgery.

The present disclosure relates to an implantable vascular graft material, including: a substrate including a graft material, the substrate defining a top surface and a bottom surface; and one or more bispecific binding partners having a luminal binding domain bound to the top surface and one or more cellular binding domains. In embodiments, the disclosure includes an implantable vascular graft including: a tubular base layer including a graft material, the tubular base layer defining a luminal surface and an abluminal surface; and a fusion peptide having a heparin binding domain bound to the luminal surface and one or more monocyte binding domains. In embodiments, the present disclosure provides one or more implantable vascular grafts such as A-TEVs, methods of making vascular grafts, methods of use, and the like.

Provided herein are methods of generating optimized models of vascular grafts for subjects in certain embodiments. Methods of treating subjects in need of vascular grafts are also provided. Related systems and computer program products are additionally provided.

The invention provides a small-caliber blood vessel biological scaffold capable of adjusting stress relaxation and a preparation method of the small-caliber blood vessel biological scaffold. The biological scaffold is of a tubular structure which is formed by arranging micron fibers and nanofibers in a crossed mode, is arranged in a net shape and is provided with a layered tube wall. The small-caliber blood vessel biological scaffold has adjustable stress relaxation performance, biodegradability, bionic viscoelasticity and excellent surgical suture performance, endogenous cells can be guided to be clustered and self-assembled, a small-caliber blood vessel graft with the deformation behavior close to that of a natural blood vessel is formed, and the small-caliber blood vessel biological scaffold has the advantages of being simple in structure and convenient to use. And the double bottleneck that the mechanical property and the tissue regeneration function of the traditional stent are difficult to consider is solved.

Current approaches in small diameter vascular grafts for coronary artery bypass surgeries fail to address physiological variations along the graft that contribute to thrombus formation and ultimately graft failure. An interlayer drug delivery system can sustain delivery of heparin through the graft with a high degree of temporal and spatial control. A heparin-loaded gelatin methacrylate interlayer sits between a biohybrid composed of decellularized bovine pericardium and poly(propylene fumarate) and UV crosslinking is controlled via 3D printed shadow masks. The masks enable control of the resultant gelMA crosslinking and properties by modulating the incident light intensity on the graft. High doses of heparin have detrimental effects on endothelial cell function. When exposed to heparin in a slower, more sustained manner consistent with the masks, endothelial cells behave similarly to untreated cells. Slower release profiles cause significantly more release of tissue factor pathway inhibitor, an anticoagulant, than a faster release profile.

Provided herein our graft devices for a patient comprising one or more layers, such as an inner layer and an outer layer. The inner layer comprises a first porous arrangement of fibers defining a first tube comprising an inner wall and an outer wall. The outer layer comprises a second porous arrangement of fibers defining a second tube comprising an inner wall and an outer wall. The second tube surrounds the first tube. A plurality of macropores extend through at least the inner and outer wall of the first tube. The inner and / or the outer layer can comprise a biofragmentable material configured to mechanically fracture into one or more fragments over time. Methods of creating graft devices are also disclosed.

The invention provides a composite membrane for vascular transplantation and a preparation method of the composite membrane. The composite membrane comprises stacked degradable coatings, the degradable coatings comprise a first degradable coating, a second degradable coating, a third degradable coating and a fourth degradable coating; each layer of degradable coating comprises a drug sustained-release matrix and a drug dispersed in the drug sustained-release matrix; the drug sustained-release matrix is a PVA (Polyvinyl Alcohol) film; the medicines comprise antibiotics and / or antibacterial agents. The composite membrane for vascular transplantation has good drug controlled release ability, has high anti-infection and anti-adhesion ability, is almost suitable for all types of vascular grafts, and breaks through the limitation of a coating technology in application.

The present disclosure describes a system and a method for producing patient-specific small diameter vascular grafts (SDVG) for coronary artery bypass graft (CABG) surgery. In some embodiments, the method for producing SDVGs includes non-invasive quantification of patient-specific coronary and vascular physiology by applying computational fluid dynamics (CFD), rapid prototyping, and in vitro techniques to medical images and coupling the quantified patient-specific coronary and vascular physiology from the CFD to computational fluid-structure interactions and SDVG structural factors to design a patient-specific SDVG.

An access device for a vascular graft is disclosed. The access device can allow two large-diameter medical devices to be inserted at the same time. The access device may include a body defining a common arm, a first proximal arm, and a second proximal arm. The common arm may include a common lumen extending from a distal end of the common arm to a proximal end of the common arm. The first arm may include a first lumen extending from a proximal end of the first arm to the common lumen. The second arm may include a second lumen extending from a proximal end of the second arm to the common lumen. The access device may include a plurality of hemostasis valves. A first hemostasis valve may be disposed at a proximal end of the first proximal arm. A second hemostasis valve may be disposed at a proximal end of the second proximal arm.

A vascular graft and method of fabricating the same are provided. The vascular graft includes an elongated tube fabricated from a material having a plurality of nodes interconnected by a plurality of fibrils. The elongated tube extends along an axis and has been previously stretched along the axis from an initial length to a desired length. Each of the plurality of fibrils has a length, and first and second ends separated by a linear distance. After the second stretching, the length of each of a majority of the plurality of fibrils is greater than the linear distance between the first and second ends of each of the majority of the plurality of fibrils, thereby allowing the vascular graft of the present invention to exhibit higher elastic compliance than prior synthetic, vascular grafts.

Provided herein are methods of generating optimized models of vascular grafts for subjects in certain embodiments. Methods of treating subjects in need of vascular grafts are also provided. Related systems and computer program products are additionally provided.

Therapeutic agents such as Prasugrel, a thienopyridine ADP receptor inhibitor, which inhibit ADP mediated signaling through the P2Y12 receptor, alone or in combination with an angiotensin II receptor blocker (ARB) such as Losartan that specifically blocks the angiotensin II type 1 (AT1) receptors, have been shown to be effective in reducing thrombosis and stenosis of grafts, including vascular grafts and tissue engineered vascular grafts (“TEVGs”) in multiple in vivo, and that the combination of a inhibitor of the purinergic receptors P2Y12 such as Prasugrel, with losartan, an angiotensin II type 1 receptor inhibitor, more than additively reduced the incidence of TEVG stenosis. In a preferred embodiment, a multi-dosing unit for treatment to reduce stenosis delivers a 2-week course of losartan and Prasugrel.

A vascular graft device (1), comprising a liner (3) comprising a microporous structure made from a first polymer material, wherein the first polymer material is hemocompatible; and a structural scaffold (5) supporting the liner (3), wherein the structural scaffold (5) comprises a macroporous fiber structure (50), made from a second polymer material wherein the second polymer material is biodegradable.

The present disclosure relates to inhibition of platelet absorption. Cardiovascular grafts with highly reduced thrombosis are provided. The cardiovascular graft is an electrospun nonwoven web produced from a supramolecular polymer of large diameter fibers. The cardiovascular graft can be implanted in a human body as a vascular graft to allow blood vessel bypass / reconstruction, or repeated venous access for dialysis treatment, as well as other small diameter vascular disorders.

A method of sterilizing biological tissue such as soft mammalian tissue that can be used to make bioprosthetic devices is disclosed. The method comprises contacting biological tissue with a bioburden reduction mixture, contacting biological tissue with a tissue drying mixture, and thereafter sterilizing the dry tissue with supercritical carbon dioxide. Prior to sterilizing the biological tissue with supercritical carbon dioxide, the biological tissue is placed under vacuum and, in some embodiments, is treated with a vaporized microbicide. Bioprosthetic devices made using the methods disclosed herein include bioprosthetic heart valves, biological tissue derived vascular grafts or vessels, and surgical tissue patches.

It has been determined that optimizing cell seeding on tissue engineered vascular grafts (TEVGs) is associated with reduced inflammatory response and reduced post-operative stenosis of the TEVG. Cell seeding increases TEVG patency in a dose-dependent manner, and the more cells seeded, the better the TEVG patency, however, incubation duration exhibits minimal effect on TEVG patency. Methods of engineering patient-specific TEVGs are provided, including optimal cell numbers for maintaining graft patency and reducing post-operative stenosis. A closed, disposable customizable system for seeding TEVGs is also provided. To enhance the efficacy of cell seeding, the system is preferably custom designed based on the morphology of the patient-specific graft.

The present invention relates generally to shape memory polymer devices that are porous. The porosity of the device may generate advantageous neovascularization, decrease inflammation, and decrease fibrosis. The device may include a surface having a pore size of 400 μm-1200 μm and a pore spacing of about 100 μm to about 750 μm.

An apparatus and method are disclosed for detecting the disconnection of a vascular access device such as a needle, cannula or catheter from a blood vessel or vascular graft segment. A pair of electrodes is placed in direct contact with fluid or blood in fluid communication with the vascular segment. In one embodiment, the electrodes are incorporated into a pair of connectors connecting arterial and venous catheters to arterial and venous tubes leading to and from an extracorporeal blood flow apparatus. Wires leading from the electrodes to a detecting circuit can be incorporated into a pair of double lumen arterial and venous tubes connecting the blood flow apparatus to the blood vessel or vascular graft. The detecting circuit is configured to provide a low-voltage alternating current signal to the electrodes to measure the electrical resistance between the electrodes, minimizing both the duration and amount of current being delivered. Detection of an increase in electrical resistance between the electrodes exceeding a pre-determined threshold value may be used to indicate a possible disconnection of the vascular access device.

Disclosed herein are devices having an inner core comprising a biomatrix; and an outer scaffold comprising a biocompatible polymer. Also disclosed herein are methods for supporting a blood vessel and / or for treating or preventing an aneurysm by disposing a device having an inner core comprising a biomatrix; and an outer scaffold comprising a biocompatible polymer on an outer surface of a blood vessel of a subject. The bioengineered scaffolds of the present disclosure can limit the progression of vessel dilation while maintaining the biochemical characteristics of the vessel wall. Furthermore, the disclosed devices provide a minimally invasive alternative to conventional graft replacement, making the device suitable for patients having comorbidities.

To provide a vascular graft which does not hinder the ingrowth of tissue and which allows the ingrowing tissue layer to adhere to the inner surface.SOLUTION: A method of manufacturing a tubular graft may comprise the steps of: providing a textile comprising a tubular wall disposed between a first open end and an opposed second open end, an inner surface and an opposed outer surface defining an interior wall portion therebetween, the tubular wall comprising a textile construction of one or more filaments or yarns, the textile construction by itself being permeable to liquid; applying a substantially water-soluble material to at least a portion of the tubular wall; and applying a substantially water-insoluble sealant to at least a part of the outer surface of the tubular wall, the substantially water-insoluble sealant being configured to mitigate movement of fluid through the wall of the conduit. The water-soluble material is configured to mitigate penetration of the sealant to the inner surface of the conduit.SELECTED DRAWING: Figure 1c

The present invention relates to a vascular graft, and more particularly, to a vascular implant having a sulfide-based structure for minimizing inflammation and for encouraging cell tissue regeneration. It describes a design of coaxial nanofibrous systems with slow release H2S to reduce inflammation and encourage cell tissue regeneration.