Devices, methods and systems for transmitting signals through a device located in a blood vessel of an animal, for stimulating and/or sensing activity of media proximal to the device, wherein the media includes tissue and/or fluid.

The invention relates to anchor channels and subannular anchors for a transcatheter heart valve replacement (A61F2/2412), and in particular for an orthogonally delivered transcatheter prosthetic heart valve having a annular support frame having compressible wire cells that facilitate rolling and folding the valve length-wise, or orthogonally to the central axis of the flow control component, allowing a very large diameter valve to be delivered and deployed to the tricuspid valve from the inferior vena cava or superior vena cava, or trans-atrially to the mitral valve, the valve having a height of about 5-60 mm and a diameter of about 25-80 mm, without requiring an oversized diameter catheter and without requiring delivery and deployment from a catheter at an acute angle of approach.

A stent delivery system can include a core member, an introducer sheath, and a microcatheter. The core member can have a distal segment. The stent engagement member can have a generally tubular body positioned about the core member distal segment and can be rotatably coupled to the core member. The engagement member can include an inner layer that has a first durometer and an outer layer that has a second durometer less than the first durometer. The stent can extend along the core member distal segment such that an inner surface of the stent is engaged by the engagement member outer layer for facilitating rotation of the stent relative to the core member.

A stent delivery system can include a core member, an introducer sheath, and a microcatheter. The core member can have a distal segment. The stent engagement member can have a generally tubular body positioned about the core member distal segment and can be rotatably coupled to the core member. The engagement member can include an inner layer that has a first durometer and an outer layer that has a second durometer less than the first durometer. The stent can extend along the core member distal segment such that an inner surface of the stent is engaged by the engagement member outer layer for facilitating rotation of the stent relative to the core member.

A compound stent device includes a first stent portion and a second stent portion, where the second stent portion is formed from a biodegradable material, and the first stent portion is formed from either non-biodegradable material or is biodegradable significantly more slowly than the second portion. The compound stent device is deformable from a first diameter to a second larger diameter. Immediately after expansion, the first stent portion and the second stent portion cooperate to provide a first contact area of support for a length of a surrounding vessel. After decomposition of the second stent portion, the first stent portion provides a second contact area of support for the length of the surrounding vessel which is at least 10 percent smaller than the first contact area.

A compound stent device includes a first stent portion and a second stent portion, where the second stent portion is formed from a biodegradable material, and the first stent portion is formed from either non-biodegradable material or is biodegradable significantly more slowly than the second portion. The compound stent device is deformable from a first diameter to a second larger diameter. Immediately after expansion, the first stent portion and the second stent portion cooperate to provide a first contact area of support for a length of a surrounding vessel. After decomposition of the second stent portion, the first stent portion provides a second contact area of support for the length of the surrounding vessel which is at least 10 percent smaller than the first contact area.

A method of connecting an expansion ring to at least one end of a braided implant, the method including positioning the braided implant about a tube; everting an end portion of the braided implant over a first end of the tube; assembling an expansion ring to the braided implant, the expansion ring being a multi-leaved expansion ring comprising clips terminating with an open-ended coupling opening, wherein the openings are pushed over a set of intersecting wires of the braided implant at respective circumferential locations on or adjacent the first end of the tube; closing the openings over the set of intersecting wire; trimming ends of the braided implant; and reversing eversion of the braided implant thereby positioning the expansion ring internal to the braided implant.

A method of connecting an expansion ring to at least one end of a braided implant, the method including positioning the braided implant about a tube; everting an end portion of the braided implant over a first end of the tube; assembling an expansion ring to the braided implant, the expansion ring being a multi-leaved expansion ring comprising clips terminating with an open-ended coupling opening, wherein the openings are pushed over a set of intersecting wires of the braided implant at respective circumferential locations on or adjacent the first end of the tube; closing the openings over the set of intersecting wire; trimming ends of the braided implant; and reversing eversion of the braided implant thereby positioning the expansion ring internal to the braided implant.

A method comprises rolling a medical implant to reduce a profile of the medical implant. The medical implant comprises a first end and a second end. The method further comprises inserting the medical implant into a catheter, delivering the catheter to a treatment location within a human body, and removing the medical implant from the catheter.

A method of treating an aneurysm, including determining a diameter associated with a vessel having the aneurysm; selecting one of a plurality of braided implants for treating the vessel, wherein each braided implant comprises a porosity substantially consistent over up to a 1 mm diameter range, each braided implant configured to provide consistent porosity over different diameter ranges; and treating the vessel with the one of the plurality of braided implants.