Aspects of the disclosure are generally related to systems, devices and methods for transcatheter delivery and deployment of an implant, such as a prosthetic valve. Aspects of the disclosure include methods of loading the implant to the delivery device having a capsule assembly for sheathing the implant. The capsule assembly can include separable proximal and distal segments. Such methods of loading can include utilizing a collar and a funnel to guide the proximal segment over the implant and adjacent the distal segment to compress and fully sheathe the implant for delivery.

Aspects of the disclosure are generally related to systems, devices and methods for transcatheter delivery and deployment of an implant, such as a prosthetic valve. Aspects of the disclosure include methods of loading the implant to the delivery device having a capsule assembly for sheathing the implant. The capsule assembly can include separable proximal and distal segments. Such methods of loading can include utilizing a collar and a funnel to guide the proximal segment over the implant and adjacent the distal segment to compress and fully sheathe the implant for delivery.

An endoprosthetic device comprises a tubular main body having a length including proximal and distal portions, the tubular main body having a flexible portion between the proximal and distal portions, and at least one adjustable length docking branch extending laterally from the tubular main body, and having sections bearing a tab or loop graspable by a user, and optionally further having at least one auxiliary branch, and at least one access branch, for assembly with at least one tubular branch body having a laterally extending access branch, using a delivery system including a delivery shaft, and a retrieval capsule and corresponding press-fit retrieval pin and retrieval wire, wherein the delivery shaft is provided with a pivotal slotted housing serving as a user handle for the delivery shaft.

An endoprosthetic device comprises a tubular main body having a length including proximal and distal portions, the tubular main body having a flexible portion between the proximal and distal portions, and at least one adjustable length docking branch extending laterally from the tubular main body, and having sections bearing a tab or loop graspable by a user, and optionally further having at least one auxiliary branch, and at least one access branch, for assembly with at least one tubular branch body having a laterally extending access branch, using a delivery system including a delivery shaft, and a retrieval capsule and corresponding press-fit retrieval pin and retrieval wire, wherein the delivery shaft is provided with a pivotal slotted housing serving as a user handle for the delivery shaft.

A stent delivery device having a delivery configuration for delivering a stent to a treatment location and a deployment configuration for deploying the stent at the treatment location may include an outer sheath, an inner shaft slidably disposed within a lumen of the outer sheath, and a distal tip member fixedly attached to a distal end of the inner shaft. A distal portion of the outer sheath may include a plurality of longitudinal strips circumferentially disposed about the lumen of the outer sheath. At least a portion of the distal tip member may be configured to slide over a distal end of the outer sheath in the delivery configuration.

A stent delivery device having a delivery configuration for delivering a stent to a treatment location and a deployment configuration for deploying the stent at the treatment location may include an outer sheath, an inner shaft slidably disposed within a lumen of the outer sheath, and a distal tip member fixedly attached to a distal end of the inner shaft. A distal portion of the outer sheath may include a plurality of longitudinal strips circumferentially disposed about the lumen of the outer sheath. At least a portion of the distal tip member may be configured to slide over a distal end of the outer sheath in the delivery configuration.

Systems and methods are provided for extravascularly bypassing an occlusion within a patient's blood vessel. An upstream bypass stent may be implanted at an implant site upstream of the occlusion and a downstream bypass stent may be implanted at an implant site downstream of the occlusion, wherein an outlet of the upstream stent and an inlet of the downstream stent are coupled extravascularly to permit blood to extravascularly bypass the occlusion. The upstream stent further may include an additional outlet that directs blood to flow through the occluded blood vessel. A kit including a percutaneous tumescence tunneler for implanting the extravascular bypass system is also provided.

Apparatus for progressively dilating the lumen of a narrow natural vessel such as an iliac artery and implanting a tubular device enabling access through the dilated lumen to conduct subsequent procedures via the dilated lumen, includes an inflatable integrated balloon locatable at least partially within the tubular device, the tubular device having a length L1 providing a self-expanding tubular body having at least a portion including stents, so that when the integrated balloon is removed the dilated lumen of the natural vessel remains dilated and supported by the tubular device.

A prosthetic graft assembly (40, 120) is disclosed for placement of a patient's aortic arch and repair of the descending aorta in a procedure which requires only a sternotomy. The assembly includes a descending graft element (40) which includes an eversible cuff (52) which can be wrapped over a cut end (26) of the descending aorta (18). Distal perfusion can be re-established prior to aortic arch replacement. A second prosthetic element (120), optimised to the patient, is fitted with a replacement for the aortic arch and attached to the descending aorta graft (40). An introducer assembly (30) having a transparent or translucent sheath (70) enables the descending aortic graft element (40) to be deployed without the use of x-rays.

A prosthetic graft assembly (40, 120) is disclosed for placement of a patient's aortic arch and repair of the descending aorta in a procedure which requires only a sternotomy. The assembly includes a descending graft element (40) which includes an eversible cuff (52) which can be wrapped over a cut end (26) of the descending aorta (18). Distal perfusion can be re-established prior to aortic arch replacement. A second prosthetic element (120), optimised to the patient, is fitted with a replacement for the aortic arch and attached to the descending aorta graft (40). An introducer assembly (30) having a transparent or translucent sheath (70) enables the descending aortic graft element (40) to be deployed without the use of x-rays.