A catheter assembly includes a tubular first and second catheters in fluid communication with each other, wherein the second catheter includes a port fitting and can be elastically longitudinally strained to cinch the first and second catheters together.

A stent delivery system is described. The system includes an outer sleeve assembly with an outer sleeve body, an outer sleeve handle fixed to one end of the outer sleeve body, and an outer sleeve tip connected to an opposing end of the outer sleeve body. The system also includes an inner sleeve assembly, which has a push tube sleeved in the outer sleeve body, an inner sleeve handle fixed to the rear end of the push tube, a stent placing tube connected to the front end of the push tube, and an inner sleeve tip set at the front end of the stent placing tube. The system also includes a snap ring fixed on an outer wall of the push tube and provided between the outer sleeve handle and the inner sleeve handle. The outer sleeve tip includes a stepped surface.

Methods and systems for rotationally aligning a commissure of a prosthetic heart valve with a commissure of a native valve are disclosed. In some examples, a delivery apparatus can include a first shaft configured to rotate around a central longitudinal axis of the delivery apparatus to rotationally align a prosthetic valve mounted on the delivery apparatus with native anatomy, a second shaft extending through the first shaft and having a distal end portion extending distally beyond a distal end portion of the first shaft, an inflatable balloon coupled to the distal end portion of the first shaft, and a distal shoulder mounted on the distal end portion of the second shaft and arranged within a distal end portion of the balloon. The distal shoulder comprises a base portion and a flared portion that extends radially outward from the base portion, and a radiopaque marker is disposed on the flared portion.

A delivery system and method for implanting a stent graft includes a flexible sheath that defines loops distributed longitudinally and wherein substantial alignment of the loops along a longitudinal axis of a guidewire catheter radially constrict the flexible sheath. The flexible sheath defines longitudinal edges that at least partially form a seem when the openings are aligned, whereby, upon alignment, the flexible sheath defines at least one fenestration in the luminal configuration of the flexible sheath. A ligature extends through the openings of the flexible sheath and causes the openings to be substantially aligned, thereby constraining the flexible sheath. The ligature is proximally retractable from the openings to thereby release the flexible sheath from a radially constricted configuration.

An endovascular system is disclosed. The system includes deployment device and a stent-graft assembly. The stent-graft assembly includes an elongate vessel wall engaging graft portion and a proximal-end self-expanding stent comprising a plurality of terminal portions. The deployment device includes an elongate guide wire catheter adapted to be deployed over a guide wire; a tip at a proximal end of the guide wire catheter. The tip has a proximal nose and a distal receiving zone. The distal receiving zone comprises a plurality of circumferentially spaced apart elongate recesses, each recess receiving at least one of the terminal portions. A trigger wire arrangement retaining the at least one terminal portions within each corresponding recess of the receiving zone is also provided. Retention of the terminal portions within the recess of the receiving zone constrains against relative twisting between the stent-graft assembly and the tip.

An endovascular delivery system for delivering a stent graft within a blood vessel. The delivery system includes a guide member configured to carry the stent graft into the blood vessel and a graft cover configured to cover at least a portion of the stent graft as the guide member is inserted into the blood vessel. The stent graft including a first end and a second end, the first end closer to a proximal end of the endovascular delivery system than the second end. The guide member includes a body having an elongated shape and a non-uniform outer periphery. The non-uniform outer periphery is configured to secure a first end of the stem graft in a first position, relative to a deployment location thin the blood vessel, to hold the first end of the stent graft in the first position as the graft cover is retracted to deploy the stent graft.

An endovascular prosthesis includes a tubular body and a mobile external coupling. The tubular body includes a graft material and stents coupled thereto, and forms a lumen therethrough. The mobile external coupling includes a graft material, extends outwardly from the tubular body, and is generally frustoconically shaped. The mobile external coupling includes a base coupled to the tubular body, a top spaced from the tubular body, and a coupling lumen disposed between the base and the top that is in flow communication with the body lumen. An annular support wireform is coupled to the mobile external coupling, and is formed into a sinusoidal configuration having a plurality of opposing first crowns and second crowns, the first crowns of the support wireform extending around of the top of the mobile external coupling. The coupling graft material extending between the second crowns of the support wireform and the tubular body is unsupported.

A system for the delivery and repositioning of a stent is provided that allows the stent to be reconstrained after full or partial expansion for deployment to and removal from a target region.

A stent having a main linear strut and at least two secondary struts. The main linear strut includes an outer member and an inner member. A distal end of one secondary strut may be attached to a distal end of the inner member. A proximal end of a secondary strut may be attached to a proximal end of the outer member. The ends of the secondary struts that are not attached to the inner and outer member may be joined. Methods of delivering such a stent and collapsing and withdrawing such a stent are also disclosed.

The invention discloses a stent graft used for interventional treatment of abdominal aortic disease, comprising a tube body composed of a tubular covering and a plurality of annular stents, and the tube body comprises a first tube body and a second tube body that arranged in sequence from the proximal end to the distal end, wherein the diameter of the first tube body is greater than diameter of the second tube body; the first tube body and the second tube body are connected by a transition section as a whole; the diameter at central part of the transition section is smaller than the diameter of the proximal end of the transition section and the diameter of the distal end of the transition section; a plurality of fenestrations are disposed on the first tube body and the transition section. The invention provides a stent graft having a smaller diameter of the portion near the branch vessels or branch stents after released, and has more space for accommodating branch vessels or branch stents for interventional treatment of abdominal aortic diseases.