A transcatheter heart valve includes a paravalvular seal that is configured for transfemoral delivery. The valve includes an outer frame and the seal is formed from a plurality of outwardly extending fibers.

A transcatheter heart valve includes a paravalvular seal that is configured for transfemoral delivery. The valve includes an outer frame and the seal is formed from a plurality of outwardly extending fibers.

A torque detection vascular therapy system employing a vascular therapy device (101) and a torque detection controller (130). The vascular therapy device (101) is operable to be transitioned from a pre-deployed state to a post-deployed state, and includes a matrix of imageable markers representative of a geometry of the vascular therapy device (101). The torque detection controller (130) controls a detection of a non-torsional deployment or a torsional deployment of the vascular therapy device (101) subsequent to a transition of the vascular therapy device (101) from the pre-deployed state to the post-deployed state by deriving a vector indication of the non-torsional deployment or the torsional deployment of the vascular therapy device (101) from a matrix orientation similarity or a matrix orientation dissimilarity between a baseline device geometry of the vascular therapy device (101) represented by the matrix of the imageable markers and an imaged device geometry of the vascular therapy device (101) represented by the matrix of imageable markers.

An introduction arrangement for a fenestrated or branched stent graft (13) intended for deployment into the lumen of a vessel having a blind vessel extending from it. The introducer (1) has a distal end intended to remain outside a patient in use and a proximal end with a nose cone dilator (11) and an arrangement to retain the branched stent graft distally of the nose cone dilator. A sheath (15) on the introducer extends over the branched stent graft to the nose cone dilator. An indwelling catheter (21) extends from the distal end of the introducer and enters the fenestration or side arm and through to the nose cone dilator, the indwelling catheter has a guide wire (29) extending through it. The guide wire can be extended beyond the nose cone dilator in use before the sheath is withdrawn from the branched stent graft so that it can be snared from the contra-lateral artery.

A system for treating disease involving branching vessels of a mammal system can include a main graft assembly (i) having a lumen permitting fluid flow therethrough, and (ii) configured to expand within a first vessel of a mammal; and a branch graft assembly including a branch cover (i) having a cover lumen permitting fluid flow therethrough; and (ii) configured to expand within a branch vessel that branches from the first vessel. The branch graft assembly may also include an expandable branch stent extending within the cover lumen. The branch graft assembly may further include a branch sheath (i) extending between the branch stent and the cover lumen, and (ii) constraining radial expansion of the branch stent within the cover lumen.

The disclosed technology includes a detachment system for delivering an implantable medical device to a target location of a body vessel including a proximal delivery tube, a distal delivery tube, and a braid segment disposed between. The distal tube includes a proximal end, a distal end, and a compressible portion of the tube itself, between the proximal and distal ends which is axially movable from a compressed to an elongated condition. The proximal tube has a proximal end and a distal end. The braid segment is formed from a plurality of wires. An engagement system engages and deploys the implantable medical device engaged at the distal end of the distal tube.

The disclosed technology includes a detachment system for delivering an implantable medical device to a target location of a body vessel including a proximal delivery tube, a distal delivery tube, and a braid segment disposed between. The distal tube includes a proximal end, a distal end, and a compressible portion of the tube itself, between the proximal and distal ends which is axially movable from a compressed to an elongated condition. The proximal tube has a proximal end and a distal end. The braid segment is formed from a plurality of wires. An engagement system engages and deploys the implantable medical device engaged at the distal end of the distal tube.

A medical implant (20) includes first and second ring members (22, 24), each including a resilient framework (26) having a generally cylindrical form. A tubular sleeve (28) is fixed to the first and second ring members so as to hold the ring members in mutual longitudinal alignment, thereby defining a lumen (32) passing through the ring members. A constricting element (30) is fit around the sleeve at a location intermediate the first and second ring members so as to reduce a diameter of the lumen at the location.

The present disclosure relates to a sheath that is usable with a medical device, particularly to a sheath that is useable with a medical device and which sheath is expandable in the regions that the medical device is positioned in the sheath, and more particularly to a sheath that is useable with a medical device and which sheath is expandable in the regions that the medical device is positioned in the sheath and which sheath reforms to its same or similar size and shape after the medical device has passed through a portion of all of the sheath. The sheath is used to protect the body passageway of a patient as a medical device is inserted into and/or through the body passageway and to a treatment site.

A delivery system includes a catheter with a removable constraint. The removable constraint is a knit tubular construct. The removable constraint can be used, for example, to constrain a medical device to a delivery configuration. The removable constraint may include one or more fibers or strands arranged about the device to maintain the device in a constrained or delivery configuration.