A system for treating a bifurcated vessel that includes a first delivery catheter and a second delivery catheter. The first delivery catheter carries a proximal first stent and a distal second stent. The first delivery catheter also has a first elongate shaft, a proximal first expandable member with the proximal first stent disposed thereover, and a distal second expandable member with the distal second stent disposed thereover. The proximal first expandable member and distal second expandable member are independently expandable of one another. The second delivery catheter carries a third stent. The second delivery catheter also has a second elongate shaft, and a third expandable member with the third stent disposed thereover. The third expandable member is independently expandable of the proximal first expandable member and the distal second expandable member.

A catheter that has a catheter tube everting inside-out during the process of catheterization. The catheter tube has a plurality of longitudinal protrusions extending from the first end of the catheter tube through at least a portion of the catheter tube, and forming an angle of 0 degrees to 45 degrees with respect to the longitudinal axis of the catheter tube and facing radially inwards, and provides for dilating a circumference of the catheter tube upon everting the catheter tube inside-out from the first end of the catheter tube.

The present invention relates to an endoluminal stent and an endoluminal stent system, with the endoluminal stent being delivered to a site at which it is to be implanted by means of a delivery device comprising a sheath for receiving the endoluminal stent. The endoluminal stent comprises a hollow tube body portion, a connection portion and a flange portion, wherein the tube body portion is connected to one end of the connection portion, the flange portion has a connection end and a suspended end opposite one another, with the connection end being connected to the other end of the connection portion in a turning connection, and the suspended end being suspended, the flange portion comprising a flange section bare wave ring made of an elastic material; the suspended end is located at a distal side of the connection end when the endoluminal stent is in a natural state; the suspended end is located at a proximal side of the connection end when the endoluminal stent is received in the sheath; and after the flange portion is released from the sheath, the flange portion automatically turns over, and the suspended end moves from the proximal side of the connection end to the distal side of the connection end. The endoluminal stent of the present invention can enhance the anchoring force thereof.

The present invention provides systems and methods for deploying implantable devices within the body. The delivery and deployment systems include at least one catheter or an assembly of catheters for selectively positioning the lumens of the implant to within target vessels. Various deployment and attachment mechanisms are provided for selectively deploying the implants.

A fluid directing device may include a catheter and a skirt. The catheter may define a lumen and may have a distal end and a proximal end. The skirt may be attached to a distal region of the catheter and may encircle the catheter. The skirt may have a proximal end attached to the catheter, and a free distal end, the skirt having a sidewall extending between the proximal and distal ends thereof, the skirt configured to move between a collapsed state and an expanded state in which the sidewall extends radially away from the catheter, the sidewall defining an interior chamber in the expanded state, wherein the skirt is configured to prevent contrast media that exits the catheter lumen from passing through the sidewall.

A stent includes a high radial force segment and a highly flexible segment, where the diameters of the high radial force segment and the highly flexible segment are substantially the same. The stent may further be placed with an additional stent segment, where the additional stent segment has a radial force similar to the radial force of the highly flexible force segment.

A deployment apparatus and method for deploying one or more stents to a bifurcated vessel is provided. The invention is particularly suited for T-type bifurcated vessels where a side branch extends from a main branch. The deployment apparatus has a primary inflatable portion for engagement within the main branch and a secondary inflatable portion for engagement within the side branch. A main stent is arranged on the primary inflatable portion and radially expanded within the main branch while the secondary inflatable portion maintains registration with the side branch. A side branch stent is then arranged on the secondary inflatable portion and expanded within the side branch while the primary inflatable portion maintains registration with the expanded main stent. A bifurcated stent system suitable for bifurcated lesions is also provided comprising a side branch stent with a shaped end designed to engage a similarly shaped side opening in a main stent.

The vascular prosthesis includes a luminal graft component that defines at least one fenestration and a crimped adapter at the at least one fenestration. The crimped adapter includes a perimeter and an opening with a diameter smaller than the diameter of the fenestration, and includes a crimped portion of generally concentric folds about the opening. The opening can move relative to the perimeter region of the crimped adapter to accommodate positioning of a branch prosthesis extending through the crimped adaptor. The vascular prosthesis is implanted in a patient to thereby treat, for example, an arterial aneurysm that spans a region of an artery that includes at least one arterial branch.

A stent graft system (1) with a first stent graft (2) expandable in respect of a diameter, and with at least a second stent graft (3). The first stent graft (2) at least in some areas has a tubular net structure (4) which, in an expanded mode, has a net structure (4) with substantially round annular meshes (5). The at least second stent graft (3) has, at a distal end (6), outwardly extending barbs (7) via which the at least second stent graft (3) can be coupled to the first stent graft (2) in the expanded mode. The distal end (6) of the at least second stent graft (3) passes through a round annular mesh (5) of corresponding diameter and, with its outwardly extending barbs (7), engages on the round annular mesh (5). Also, a method for coupling stent grafts as a stent graft system.

Side-branch, piercing stents and corresponding methods are provided. The stent body has apically controllably movable leaves that have a closed state and an open state, and at least one of the leaves has an apical piercing tip that is controllably moveable from a contracted state to an extended, piercing state, in which it pierces an apically adjacent element such as a main stent graft, an aneurism or a blood vessel, creates an opening therein, enables insertion of the apical tip of the side -branch stent and allows for spreading the leaves to anchor them within the element and ensure blood flow between the volume of the element and the side branches. Controlling element(s) control the movements of the tip(s) and the leaves to enable controlled and accurate positioning of the side-branch stent, its attachment to the main element and its anchoring therein.