Described is a method and device for dilating a tubular anatomical structure. The device and method can be useful for extracting a blood clot in an artery of a mammal by concentrically irradiating an inner wall of the occluded artery using an ultraviolet (UV) laser beam delivered by an optical fiber. Dilation results from photophysical production and release of nitric oxide from the cells lining the arterial wall when UV laser light is projected as a ring beam onto the inner arterial wall.

An implantable artificial bronchus including a body having a proximal upper opening and a distal lower opening. The distal lower opening being in fluid communication with the proximal upper opening, and the body at least partially tapering along a length toward the distal lower opening. The body having a plurality of side openings configured to allow air to enter into and exit the implantable artificial bronchus through the body. A length of the body is greater than 4 times the size of a largest diameter of the body, and the diameter of the proximal upper opening is larger than a diameter of the distal lower opening.

A delivery system facilitating retrieval of interventional device includes a sheath, an operation handle for driving the sheath to move, and a tube axially slidably engaging with the pusher section. The sheath includes a carrier section at a proximal end for surrounding the interventional device and a pusher section connected with the carrier section. Depending on different axial positions, the tube assumes an initial configuration in which a proximal end portion thereof is at a periphery of the pusher section, and an operation configuration in which the proximal end portion is held tightly around the carrier section and limits further expansion of the carrier section. The delivery system functions to hold the support frame tightly by surrounding the sheath with the axially movable tube, retrieving the support frame and preventing the support frame from falling off from a core shaft, thereby reducing risks in surgery and the mortality rate. The tube may be manually driven or driven in other ways, which is convenient to coordinate with known control handles or sheaths.

An assembly for replacement of a native aortic heart valve includes a radially collapsible prosthetic heart valve and a delivery apparatus. The prosthetic heart valve includes an annular frame with attachment posts, wherein each of the posts has an axial post portion and a transverse post portion having a greater circumferential dimension than the axial post portion. The delivery apparatus includes an inner shaft with a valve connection portion for releasably coupling to the attachment posts and an outer shaft having a sheath for maintaining the prosthetic heart valve in a radially compressed state. Rotation of a control knob on a handle causes the sheath to retract for uncovering a portion of the prosthetic heart valve. Further rotation of the control knob allows the posts to decouple from the delivery apparatus such that the prosthetic heart valve self-expands to a fully expanded state.

A single integrated intravascular device including a stentriever and semi-compliant balloon housed therein. After traversing a clot, the device is deployed to a self-expanded state engaging the clot therein, whereupon the device along with the embedded clot is removed. Detecting through imaging a stenosis at an original position of the captured clot, the device is reintroduced to that location and the stentriever is deployed to a self-expanded state. Inflating the semi-compliant balloon enlarges the stentriever to a hyper-expanded state greater than the self-expanded state thereby dilating the vessel while simultaneously completely detaching/releasing the stentriever from a remaining portion of the device. Then the semi-compliant balloon is collapsed and withdrawn along with the remaining portion of the device, while the detachable/releasable portion of the stentriever in the self-expanded state remains in the vessel.

A delivery cylinder includes a first tubular portion and a second tubular portion having a plurality of struts coupled to the first tubular portion and defining a volume for containing a radially compressed prosthetic implant. The struts include proximal end portions and main body portions extending from the proximal end portions in both an expanded configuration and a contracted configuration. The proximal end portions of each strut include a pair of first recessed portions defined in longitudinal edges of the strut, and a pair of second recessed portions defined in the longitudinal edges distally of the pair of first recessed portions. The pair of first recessed portions reduces a width of the strut to induce bending of the strut at the pair of first recessed portions, and the pair of second recessed portions reduces the width of the strut to induce bending at the pair of second recessed portions.

An illustrative endoluminal implant having an elongated tubular member. The elongate tubular member having a proximal stent, a distal stent and an interconnecting sleeve. The proximal stent tapers from a first outer diameter adjacent the proximal end region to a second smaller outer diameter adjacent the distal end region. The distal stent has an outer diameter less than the first outer diameter of the proximal stent. The interconnecting sleeve is collapsible in response to an applied radial force such that the sleeve is positionable across a natural valve or sphincter.

A medical drainage stent that includes a stent body, and a proximal portion and a distal portion that are located at two ends of the stent body for connecting a first tissue wall and a second tissue wall in a juxtaposing manner. The stent body is fixed between the first tissue wall and the second tissue wall to provide a drainage channel. The proximal portion of the stent has N extension portions, where a fixed end of the extension portion is fixedly connected with an edge of a proximal end of the stent body, and the other end of the extension portion is a free end in a free state. Structures of the N extension portions at least partially protrude from the stent body in a radial direction, so that the proximal portion of the stent is fixed on the first tissue wall, where N is a positive integer.

A device for extracting an endovascular stent graft from a vessel including a cylindrical body and an opening formed in the cylindrical body. The cylindrical body has a first open end, a second open end, and a sidewall surrounding a hollow bore of the cylindrical body. The opening is formed in the sidewall between the first open end and the second open end forming a first ring portion at the first open end and a second ring portion at the second open end. Additionally, a thickness of the sidewall at the first open end tapers toward the opening and wherein a thickness of the sidewall at the second open end tapers toward the opening such that the hollow bore is narrower at each end than at the opening.

Method of endovascular intervention in neurovascular anatomy of a patient including deploying an anchor of a tethering device in an anchoring vessel of a neurovascular anatomy, the anchor coupled to a tether extending proximally from the anchor. Method includes advancing a guide-sheath over the tether of the tethering device anchored in the anchoring vessel and attached to the tether, the guide-sheath includes at least one lumen and a distal opening from the lumen. Method includes advancing a treatment device through the lumen of the guide-sheath and out the distal opening from the at least one lumen and through an entrance of a target intracranial vessel, and deploying the treatment device at a treatment site within the target intracranial vessel without a combined therapy of two or more anti-platelet therapeutic agents during a pen-procedural period. Related systems, devices, and methods are disclosed.