The invention provides devices, systems and methods for tissue approximation and repair at treatment sites. The devices, systems and methods of the invention will find use in a variety of therapeutic procedures, including endovascular, minimally-invasive, and open surgical procedures, and can be used in various anatomical regions, including the abdomen, thorax, cardiovascular system, heart, intestinal tract, stomach, urinary tract, bladder, lung, and other organs, vessels, and tissues. The invention is particularly useful in those procedures requiring minimally-invasive or endovascular access to remote tissue locations, where the instruments utilized must negotiate long, narrow, and tortuous pathways to the treatment site. In addition, many of the devices and systems of the invention are adapted to be reversible and removable from the patient at any point without interference with or trauma to internal tissues.

Fixation devices, systems and methods for engaging tissue

Detachment mechanism for implantable fixation devices

A bi-directional stent delivery system includes an inner elongate shaft, a radially expandable prosthesis disposed over the inner elongate shaft, an outer elongate shaft, and a shuttle sheath disposed over the radially expandable prosthesis. The distal portion of the inner shaft is releasably coupled to the distal portion of the shuttle sheath, and the distal portion of the outer shaft is releasably coupled the proximal portion of the shuttle sheath. Distal advancement of the inner shaft advances the shuttle sheath distally when the outer shaft is uncoupled from the shuttle sheath, thereby allowing the prosthesis to radially expand from a proximal end to a distal end. Proximal retraction of the outer shaft retracts the shuttle sheath proximally when the inner shaft is uncoupled from the shuttle sheath, thereby allowing the prosthesis to radially expand from a distal end to a proximal end thereof.

Bi-directional stent delivery system

Devices and methods for treating vascular defects, such as, for example, balloon-type aneurysms, are described herein. In one embodiment, an apparatus includes an insertion portion and an expandable implant. The expandable implant is configured to be deployed in an aneurysm and is coupled to the insertion portion. The expandable implant has a first portion and a second portion coupled to the first portion. The expandable implant is movable between a first configuration in which the first portion and the second portion are substantially linearly aligned and a second configuration in which the second portion at least partially overlaps the first portion.

Devices and methods for the treatment of vascular defects

Device, systems and methods are provided to isolate aneurysms, particularly at bifurcations, while maintaining adequate blood flow through nearby vessels. These devices are deliverable to a desired target area and maintain position in a desired orientation so as to occlude flow in some aspect while allowing flow in others. In addition, devices, systems and methods are provided to occlude blood vessels, such as endoleaks, to improve the isolation of aneurysms.

Isolation devices for the treatment of aneurysms

Coil assemblies and related components and methods are disclosed. The coil assemblies can include two or more embolic coils having one or more different coil parameters.

Coil assemblies, components and methods

A catheter shaft including a metallic tubular member including a plurality of apertures formed in the tubular wall of the metallic tubular member to provide a desired degree of flexibility to the metallic tubular member. The metallic tubular member includes a tapered region intermediate a region and a second, reduced diameter region relative to the first region.

Catheter shaft including a metallic tapered region

Disclosed herein are various systems and methods for delivering implantable devices, such as, for example detachable embolic coils. The systems can include an embolic coil mated to a pusher wire via a detachable link comprising first and second engaging members and an expandable member or a sleeve. The expandable member or sleeve can reduce relative movement between the engaging members to inhibit premature detachment and/or jamming of the detachable link as the embolic coil is delivered through a catheter.

Systems and methods for delivering a detachable implantable device

Methods and systems for delivering an implantable device to a target site, using a detachable link. The system can include an embolic coil mated to a delivery wire via a detachable link comprising first and second engaging members. When the detachable link is delivered through a catheter, the first and second engaging members are configured to self-detach.

Spring detach joint for delivering a detachable implantable device

Embolic coil introducer sheath locking mechanisms, as well as related components, systems and methods are disclosed. The locking mechanism has a first position in which the locking mechanism applies pressure to the embolic coil introducer sheath and a second position in which the locking mechanism does not apply pressure to the embolic coil introducer sheath. The locking mechanism is removable from the embolic coil introducer sheath.

Embolic coil introducer sheath locking mechanisms

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