Various systems and methods are provided for reducing pressure at an outflow of a duct such as the thoracic duct or the lymphatic duct. In one embodiment, an indwelling catheter can be configured to be at least partially implanted within a vein of a patient in the vicinity of an outflow port of a duct of the lymphatic system. The catheter can include first and second restrictors each configured to at least partially occlude the vein within which the catheter is implanted and thus to restrict fluid flow within the vein when the restrictors are activated. The restrictors can each be configured to move between an activated configuration, in which the restrictor occludes the vein, and a relaxed configuration, in which the restrictor does not occlude the vein. The catheter can include a pump, such as an axial motor pump, configured to pump fluid through the catheter.

The present invention relates to a perfusion balloon catheter that has an expandable (enlargeable) inner lumen with a novel design feature that allows a continuous flow through this enlarged lumen sufficient perfusion to the distal lumen of the blood vessel or air passage concurrent to and independently of balloon inflation or deflation resulting in the prolonged dilatation and avoiding the high risks of blood or air flow stricture during balloon inflation.

The present disclosure provides medical devices, systems and methods and in particular to devices and methods useful for anchoring graft materials to bodily structures.

A blood flow assist system can include an impeller assembly including an impeller shaft and an impeller on the impeller shaft, a primary flow pathway disposed along an exterior surface of the impeller. The system can include a rotor assembly at a proximal portion of the impeller shaft. A secondary flow pathway can be disposed along a lumen of the impeller shaft. During operation of the blood flow assist system, blood can be pumped proximally along the primary flow pathway and the secondary flow pathway. The system can include a sleeve bearing distal the impeller. The system can include a drive unit having a distal end disposed distal a proximal end of the second impeller. The drive unit comprising a drive magnet and a drive bearing between the drive magnet and the impeller assembly.

A surgical or laparoscopic method of creating and maintaining an opening in the thoracic diaphragm of a patient. The method comprising the steps of creating an incision in the thoracic diaphragm and thereby creating an opening in the thoracic diaphragm, placing a diaphragm passing part in said opening created in the thoracic diaphragm, passing from the abdomen through the thoracic diaphragm and into the thorax; wherein the step of placing said diaphragm passing part comprises placing a force transferring part of the diaphragm passing part in contact with the thoracic diaphragm, the force transferring part being adapted to transfer force between the abdominal side of the thoracic diaphragm and the thoracic side of the thoracic diaphragm while sliding against the thoracic diaphragm.

An implantable heart help device adapted for implantation in a human patient is provided. The device comprising a fixating member adapted to fixate said device to a part of the human body comprising bone. Further a method of fixating an implantable heart help device in a human patient is provided. The method comprises the steps of: cutting the skin of said human patient, dissecting an area of the body comprising bone, and fixating said implantable heart help device to said part of the body comprising bone.

An implantable heart help device adapted for implantation in a human patient is provided. The device comprising a fixating member adapted to fixate said device to a part of the human body comprising bone. Further a method of fixating an implantable heart help device in a human patient is provided. The method comprises the steps of: cutting the skin of said human patient, dissecting an area of the body comprising bone, and fixating said implantable heart help device to said part of the body comprising bone.

The invention relates to a catheter assembly for the intermittent occlusion of the coronary sinus (CS, 60). The catheter assembly comprises a shaft (17, 126). The shaft (17, 126) has a plurality of lumens (7A, 7B, 35, 38, 40, 40A, 40B), a distal end (22) with a distal tip (20A, 20B, 20C), an occlusion device (24, 56, 142) fixed to the distal tip (20A, 20B, 20C) and operable through at least one of the plurality of lumens (7A, 7B, 35, 38, 40, 40A, 40B) and a proximal handle (10). The catheter assembly further having at least one of the following: the occlusion device (24, 142) having a diameter of 5 - 20 mm and adapted to occlude the coronary sinus ostium, means of measuring the pressure at the distal tip (20 a, 20B, 20C) of the catheter assembly and distally to the occlusion device (24, 142), preferably using an optical pressure sensor (28), an anchoring device (30, 54, 65, 80, 90A, 122) for anchoring the occlusion device (24, 142) in a predefined position in the coronary sinus (CS, 60), preferably in the ostium, the distal end (22) being deflectable/steerable with deflection being controlled by an actuator arranged at the proximal handle (10).

Transcatheterly implantable mammalian body conduit intralumenal device and lumen wall anchor assembly. Anchor includes: wire network, connector positioning wires having a secured and a released position, and a connector disposed at end of each wire. Anchor has: a compact-secured-configuration, an expanded-secured-configuration, an expanded-released-configuration. When the anchor is in the expanded-secured-configuration, the wire network exerts a force on conduit lumen wall and the connector positioning wires are the in secured position. When the anchor is in the expanded-released-configuration, the connector positioning wires are in the released position, and do not obstruct fluid flow axially through conduit. Device includes an interconnector that allows for the releasable interconnector of the connectors thereto. Device and anchor assembly can be explanted from the conduit. Or, device can be released from the anchor at the implantation site and only the device explanted with the anchor remaining within the conduit.

Transcatheterly implantable mammalian body conduit intralumenal device and lumen wall anchor assembly. Anchor includes: wire network, connector positioning wires having a secured and a released position, and a connector disposed at end of each wire. Anchor has: a compact-secured-configuration, an expanded-secured-configuration, an expanded-released-configuration. When the anchor is in the expanded-secured-configuration, the wire network exerts a force on conduit lumen wall and the connector positioning wires are the in secured position. When the anchor is in the expanded-released-configuration, the connector positioning wires are in the released position, and do not obstruct fluid flow axially through conduit. Device includes an interconnector that allows for the releasable interconnector of the connectors thereto. Device and anchor assembly can be explanted from the conduit. Or, device can be released from the anchor at the implantation site and only the device explanted with the anchor remaining within the conduit.