A deployment device for lining a vessel having a housing having a proximal end and a distal end opposite the proximal end, the housing defining a guidewire channel, a tube elongated along a longitudinal axis, the tube having a proximal end and a distal end spaced from the proximal end of the tube along the longitudinal axis, a sheath assembly having a hub removably coupled to the distal end of the housing, and a mesh removably coupled to the tube and positioned along the tube. The tube and the sheath assembly are configured to move along the guidewire and into the vessel through a puncture and release the mesh inside the vessel when at least one of the tube and the mesh is actuated. The device is used as a method of mitigating potential injury or harm to the integrity of the patient’s vessel lining.

A method for treating a native valve of a human heart having a native annulus and native leaflets includes positioning a capsule of a delivery device proximate a native heart valve. The method further includes partially deploying a prosthetic heart valve device from the capsule such that an inflow region of a valve support and an inflow region of a fixation structure are radially expanded. A portion of the prosthetic heart valve device remains coupled to the delivery device while a gap exists between a downstream end of a prosthetic valve disposed within the valve support and a distal terminus of the capsule such that fluid can flow through the prosthetic valve with the prosthetic heart valve device partially deployed. The method may further include recapturing the prosthetic heart valve device within the capsule.

A stent configured to change in length while maintaining a constant inner diameter is disclosed. The stent includes an elongated tubular member comprising at least one knitted filament forming a plurality of twisted knit stitches with rungs extending circumferentially between adjacent twisted knit stitches, wherein each twisted knit stitch is interconnected with a longitudinally adjacent twisted knit stitch forming a series of linked stitches. The tubular member is configured to be stretched from a first length to a second length while in a radially expanded configuration without substantially changing the inner and/or outer diameter of the tubular member.

A medical device system may include an elongate shaft having a lumen extending from a proximal end to a distal end, a proximal release wire, and a distal release wire. The proximal release wire may extend distally from a proximal end configured to remain outside the body to a distal end and may be slidably disposed within the lumen of the elongate shaft. The distal release wire may extend distally from a proximal end to a distal end and may be slidably disposed within the lumen of the elongate shaft. The proximal end of the distal release wire may be slidably coupled to the distal end of the proximal release wire. The distal release wire may be configured to releasably attach a medical device to the distal end of the elongate shaft.

Aspects of the present invention relate to a delivery device for locating an expandable implant for treating BPH within the prostatic urethra of a patient. The delivery device comprises an inner tube and an outer sleeve movable relative to the inner tube between a stored position and a deployed position. The outer sleeve surrounds the inner tube to define an annulus therebetween and the expandable implant is retained within the annulus when the outer sleeve is in the stored position.

A system including a self-expanding prosthesis configured to foreshorten during deployment thereof and a delivery device configured to percutaneously deliver the self-expanding prosthesis. The delivery device includes a handle having an actuator thereon, an outer sheath including a proximal end coupled to the handle and a pusher shaft slidingly disposed within the outer sheath. The pusher shaft has a proximal end coupled to the handle and a distal end configured to releasably couple to the self-expanding prosthesis such that the self-expanding prosthesis axially moves therewith. The inner shaft has a distal portion of the inner shaft that is configured to receive a self-expanding prosthesis thereon. The outer sheath and the pusher shaft are configured to simultaneously move in opposing axial directions via actuation of the actuator on the handle to compensate for the foreshortening of the self-expanding prosthesis during deployment.

A self-expanding braided stent includes at least a distal radial expansion ring added to a distal end of the stent body to increase a radial expansion force of the self-expanding braided stent in deployment of the stent, and to facilitate advancement of the stent through a delivery sheath by a core advancement wire. A proximal radial expansion ring is optionally added to a proximal end of the stent body to allow the stent to be recaptured following partial deployment by retraction of the core advancement wire, prior to full deployment of a proximal portion of the stent body.

A release mechanism for a delivery apparatus and associated methods for operating the release mechanism are disclosed. As one example, a handle portion of the delivery apparatus can include a release mechanism configured to adjust a linear position of a component of the delivery apparatus. The release mechanism can include a threaded drive screw including one or more retaining elements arranged at a proximal end of the drive screw and one or more grooves forming a helical threaded portion of the drive screw that each extend from a corresponding retaining element to a distal end of the drive screw, the drive screw coupled to the component; and a rotatable knob surrounding and coaxial with the drive screw, the knob including one or more teeth arranged at a proximal end of the knob, each tooth configured to interface with a corresponding retaining element and groove of the drive screw.

Delivery systems for expandable elements, such as stents or scaffolds are described along with associated methods for using such systems. The delivery systems can be provided with a stent and/or a balloon the is enclosed by a sheath that need not extend an entire length of the delivery system. Instead, the sheath can be coupled to a control wire for retraction and advancement of the sheath. By enclosing the stent and/or balloon with a short sheath, the profile of the delivery system is reduced.

Disclosed are a stent delivery and release device and a stent delivery and release system. The stent delivery and release device (20) includes a stent proximal end release assembly provided at a proximal end of the stent delivery and release device, a guide head provided at a distal end of the stent delivery and release device, and a control member, wherein an external stent is configured to be loaded between the guide head and the stent proximal end release assembly; a proximal end of the control member is connected to the stent proximal end release assembly, and at least part of a distal end of the control member is wound around the stent and is detachably connected to the guide head; and the stent proximal end release assembly folds or releases the stent by controlling the axial length of the control member.