| CPC A61B 17/3403 (2013.01) [A61B 17/22031 (2013.01); A61B 17/221 (2013.01); A61B 17/32075 (2013.01); A61B 17/320758 (2013.01); A61B 17/3415 (2013.01); A61B 17/3417 (2013.01); A61B 17/3476 (2013.01); A61F 2/88 (2013.01); A61M 25/0074 (2013.01); A61M 25/04 (2013.01); A61M 25/10 (2013.01); A61B 17/00008 (2013.01); A61B 2017/00252 (2013.01); A61B 2017/003 (2013.01); A61B 2017/00455 (2013.01); A61B 2017/00685 (2013.01); A61B 2017/22034 (2013.01); A61B 2017/22038 (2013.01); A61B 2017/22044 (2013.01); A61B 2017/22077 (2013.01); A61B 2017/22094 (2013.01); A61B 2017/22095 (2013.01); A61B 2017/2212 (2013.01); A61B 2017/320004 (2013.01); A61B 2017/320044 (2013.01); A61B 2017/320064 (2013.01); A61B 17/32053 (2013.01); A61B 2017/320741 (2013.01); A61B 2017/3405 (2013.01); A61B 2017/3454 (2013.01); A61M 25/003 (2013.01); A61M 25/0032 (2013.01); A61M 25/0045 (2013.01); A61M 2025/006 (2013.01); A61M 25/0069 (2013.01); A61M 25/007 (2013.01); A61M 25/0082 (2013.01); A61M 25/0152 (2013.01); A61M 2025/018 (2013.01); A61M 2025/09175 (2013.01); A61M 2025/09191 (2013.01); A61M 2025/105 (2013.01)] | 20 Claims | 

| 
               1. A system for bypassing an occlusion in a blood vessel, comprising: 
            an intramural orienting device comprising: 
              an elongate shaft including a lumen extending therein to a distally facing opening at a distal end of the elongate shaft; and 
                  an orienting element including two wings configured to shift between a collapsed delivery configuration and an expanded deployed configuration, the two wings being monolithically formed with a portion of the elongate shaft; 
                  wherein in the expanded deployed configuration, the two wings extend outwardly from the elongate shaft in a substantially planar manner; 
                  wherein a distal portion of the elongate shaft includes a side opening in communication with the lumen, the side opening facing orthogonally relative to the two wings. 
                 |