Rolling tractor tube mechanical thrombectomy apparatuses that may be deployed from out of a catheter in situ are described herein. These apparatuses may be delivered out of a catheter from a collapsed delivery configuration within the catheter to a deployed configuration out of the catheter, in which the same catheter is re-inserted between a tubular tractor and an elongate puller. In particular, any of these methods and apparatuses may be adapted to work with a tractor tube having an open end that is biased open, including using an annular bias.

Features for a restraint, such as a cap, are described. The restraint secures a cardiac device in a collapsed, delivery configuration for transcatheter delivery to a heart. The restraint may have a tubular sidewall extending from a proximal end to a distal end, a proximal opening defined by the sidewall at the proximal end and a channel defined by the sidewall and extending distally from the proximal opening. The restraint is configured to receive the implant in the collapsed configuration through the proximal opening to radially restrain the implant within the channel. The restraint eliminates the need for a surrounding sheath, reducing the delivery profile and size of the overall delivery system, among other advantages. The restraint may have an atraumatic leading edge to reduce the risk of injury to the patient.

A lightweight reinforced mesh, such as a surgical mesh, suitable for use in various applications, including breast reconstruction, cosmetic breast surgery, mastopexy, breast augmentation, breast reduction, soft tissue reconstruction, hernia repair, tissue plication reinforcement, tissue support and repair, tendon support and repair, tissue engineering, and procedures or other applications requiring additional soft tissue strength or thickness. In addition, disclosed is a use of such a mesh for tissue engineering, regardless of the surgical application. In particular, the present disclosure relates to a surgical mesh capable of providing enhanced support while maintaining flexibility, low density, and absorbable characteristics. Further the present disclosure, focuses on reducing the material burden of a scaffold while increasing void space to facilitate tissue ingrowth.

A surgical prosthetic heart valve has a supporting structure and a plurality of leaflets, the supporting structure generally having an annular shape with a blood flow channel defined in the annular shape and having opposite inflow and outflow sides along an axial direction of the annular shape, the plurality of leaflets connected to the supporting structure to control the blood flow channel to open or close. The supporting structure includes a first annular band and a second annular band, both of which are provided with deformable sections spaced from each other in the circumferential direction for allowing diameter expansion of the respective annular bands. The surgical heart valve achieves the diameter expansion of the annular bands through the deformable sections, thereby addressing the problem of postoperative variation in a valve-in-valve operations.

Features for a restraint to facilitate delivery and deployment of an implantable cardiac device are described. The restraint may include a series of circumferential engagements for securing inwardly corresponding portions of the implant. The restraint may be located inside the implant and provide a radially inward force on the implant. The restraint may include a center shaft having a series of grooves configured to cooperate with corresponding splines of the implant. Distal or proximal advance of the restraint disengages the restraint from the implant. The implant may include a tubular frame configured to contract and be secured by the restraint in a contracted configuration and to expand upon disengagement from the restraint. The restraint may provide for a smaller overall cross-sectional profile of a transcatheter delivery system, for instance by negating the need for a distal delivery sheath.

A blood conduit with stent has a flexible conduit body and an expandable stent structure. The conduit body has a first opening end through which only an inflow of a blood enters and a second opening end through which only an outflow of the blood leaves. The stent structure includes a plurality of threads adhered to the conduit body and expands in directions intersecting an axial direction of the conduit body. A boundary of one of the threads of the stent structure closest to the second opening end is away from the second opening end with a predetermined distance, thereby preventing blood back flow into the false lumen via a new tear.

The disclosure relates to heart valve prostheses with the reduced need of pacemaker implantation and improved means for positioning the replacement heart valve.

Rolling tractor tube mechanical thrombectomy apparatuses that may be deployed from out of a catheter in situ are described herein. These apparatuses may be delivered out of a catheter from a collapsed delivery configuration within the catheter to a deployed configuration out of the catheter, in which the same catheter is re-inserted between a tubular tractor and an elongate puller. In particular, any of these methods and apparatuses may be adapted to work with a tractor tube having an open end that is biased open, including using an annular bias.

An expandable support device for tissue repair is disclosed. The device can be used to repair hard or soft tissue, such as bone or vertebral discs. The device can have multiple flat sides that remain flat during expansion. A method of repairing tissue is also disclosed. Devices and methods for adjusting (e.g., removing, repositioning, resizing) deployed orthopedic expandable support devices are also disclosed. The expandable support devices can be engaged by an engagement device. The engagement device can longitudinally expand the expandable support device. The expandable support device can be longitudinally expanded until the expandable support device is substantially in a pre-deployed configuration. The expandable support device can be then be physically translated and/or rotated.

Replacing a defective atrioventricular heart valve, in particular a tricuspid valve, may include stent devices, prosthetic heart valves, delivery systems, and corresponding methods, which provide an improved fixation without distortion of the native anatomy. A stent device for a prosthetic heart valve has an axially extending mesh-shaped body, configured to fit an orifice and defining an inner channel as a passageway from a proximal to a distal end. At least three outer support arms extend from the distal end of the body towards the proximal end. Each support arm has a distal end first support region and a proximal end second support region. The second support region extends radially outwards in the deployed state. Each support arm has a flexible region between the first and second support regions, which is formed as an axially tapered section of the support arm and/or each support arm is tapered towards the proximal end.