A balloon system for delivery of a device. The balloon system includes a balloon including: an elongated central portion including a proximal tapered cone and a distal tapered cone, the elongated central portion and the proximal and distal tapered cones being in an uninflated state; a proximal receiving trench adjacent the proximal tapered cone and a distal receiving trench adjacent the distal tapered cone, and a distal backstop adjacent the distal receiving trench, the distal receiving trench being defined by the distal backstop and the distal tapered cone; and a proximal retractable cuff disposed over the proximal receiving trench and the proximal tapered cone and a distal retractable cuff disposed over the distal receiving trench and the distal tapered cone.

The present embodiments provide systems and methods for improved retention of stents on a delivery system. In one embodiment, a delivery system comprises a catheter and a balloon. A proximal end of the balloon is secured to an exterior surface of the catheter at a first location, and a distal end of the balloon is secured to the exterior surface of the catheter at a second location. A plurality of bands are disposed in a circumferential space situated between the exterior surface of the catheter and an interior surface of the balloon. The plurality of bands may comprise at least four bands that are discretely spaced-apart in an axial direction from one another along a length of the catheter. At least one stent is secured to the exterior surface of the balloon in a compressed delivery state.

A delivery system for implants used in structural heart diseases by a minimally invasive method comprises a catheter (2) which is connected with the distal section of the balloon (1) and on the other side with the straight cap with the lateral canal (10) to which a pressure syringe for pumping the balloon is attached. The catheter is covered from the outside with a special shield (8). The balloon (1) has a necking in the middle section and inside the balloon and in the catheter (8) there is a canal (6) led outside the balloon formed at the end in the shape of a coil (3). Inside the balloon (1) or outside it at its distal and proximal ends the system is equipped with at least one anchoring mechanism shapely formed crimped on the balloon surface of the implant preventing its uncontrolled moving.

A sealing frame surrounds a radially-outer surface portion of a valve frame of a prosthetic heart valve. Both the valve frame and the sealing frame are radially collapsible and expandable between respective compressed and expanded configurations. The sealing frame has a first axial end coupled to the valve frame at its inflow end, and a second axial end coupled to the valve frame at a location between its inflow and outflow ends. The sealing frame also has an intermediate portion between the first and second axial ends that projects radially outward when the valve and sealing frames are in their expanded configurations. The sealing frame displaces an outer skirt of the prosthetic heart valve radially outward and urges the outer skirt into contact with surrounding native tissue, thereby reducing or avoiding paravalvular leakage. In some examples, the sealing frame can be formed of a shape memory material.

Described herein are systems and methods from delivering prosthetic devices, such as prosthetic heart valves, through the body and into the heart for implantation therein. The prosthetic devices delivered with the delivery systems disclosed herein are, for example, radially expandable from a radially compressed state mounted on the delivery system to a radially expanded state for implantation using an inflatable balloon of the delivery system. Exemplary delivery routes through the body and into the heart include transfemoral routes, transapical routes, and transaortic routes, among others.

A balloon shoulder assembly for a transcatheter delivery device, such as a balloon catheter, is disclosed. The balloon shoulder assembly includes a proximal balloon shoulder including a proximal collar portion that extends radially outward from a proximal shaft portion, relative to a central axis of the balloon shoulder assembly and a distal balloon shoulder including a distal collar portion that extends radially outward from a distal shaft portion. Each of the proximal balloon shoulder and the distal balloon shoulder are hollow and comprise a compressible, blow molded material.

Described herein are systems and methods from delivering prosthetic devices, such as prosthetic heart valves, through the body and into the heart for implantation therein. The prosthetic devices delivered with the delivery systems disclosed herein are, for example, radially expandable from a radially compressed state mounted on the delivery system to a radially expanded state for implantation using an inflatable balloon of the delivery system. Exemplary delivery routes through the body and into the heart include transfemoral routes, transapical routes, and transaortic routes, among others.

A balloon system for delivery of a device. The balloon system includes a balloon including: an elongated central portion including a proximal tapered cone and a distal tapered cone, the elongated central portion and the proximal and distal tapered cones being in an uninflated state; a proximal receiving trench adjacent the proximal tapered cone and a distal receiving trench adjacent the distal tapered cone, and a distal backstop adjacent the distal receiving trench, the distal receiving trench being defined by the distal backstop and the distal tapered cone; and a proximal retractable cuff disposed over the proximal receiving trench and the proximal tapered cone and a distal retractable cuff disposed over the distal receiving trench and the distal tapered cone.

A delivery apparatus for a prosthetic heart valve includes a shaft, an inner balloon, and an outer balloon. The shaft has a lumen extending from a proximal end portion to a distal end portion and a plurality of openings formed in the distal end portion. The shaft is configured such that a fluid can flow through the lumen and the openings. The inner balloon has end portions and a center portion disposed between the end portions. The inner balloon is mounted on the distal end portion of the shaft and is in fluid communication with the openings of the shaft. When the inner balloon is inflated with the fluid, the end portions expand farther radially outwardly than the center portion. The outer balloon is mounted to the shaft and disposed over the inner balloon. The outer balloon is configured to fully expand after the inner balloon at least partially expands.

A delivery apparatus for a prosthetic heart valve includes a shaft, an inner balloon, and an outer balloon. The shaft has a lumen extending from a proximal end portion to a distal end portion and a plurality of openings formed in the distal end portion. The shaft is configured such that a fluid can flow through the lumen and the openings. The inner balloon has end portions and a center portion disposed between the end portions. The inner balloon is mounted on the distal end portion of the shaft and is in fluid communication with the openings of the shaft. When the inner balloon is inflated with the fluid, the end portions expand farther radially outwardly than the center portion. The outer balloon is mounted to the shaft and disposed over the inner balloon. The outer balloon is configured to fully expand after the inner balloon at least partially expands.