Abstract: A coil for use in a medical device. The coil includes a plurality of coil windings or turns, wherein adjacent coil windings are connected together at a plurality of discrete connection locations to increase the torsional rigidity and torque transmitting properties of the coil without sacrificing the flexibility characteristics of the coil. In some embodiments the coil may be a wave wound coil, such as a nested wave wound coil or a crest-to-crest wave wound coil.

Abstract: An apparatus and method for ejecting fluid from a fluid delivery system. The fluid delivery system has a pneumatic assembly that when triggered injects gas into a hydraulic assembly, which in turn ejects fluid through an external interface. An electronic interface displays various measurements, for example, how much fluid has been ejected and if the hydraulic system is closed the pressure of the system. The pneumatic assembly can also be depressurized such that fluid can reenter the hydraulic assembly through the external interface.

Abstract: A sphincterotome including a cutting wire may be configured such that, when activated, the cutting wire assumes a desired cutting position at or near the “12 o'clock” position or any other desired angular configuration. A sphincterotome may have controlled bending characteristics. A distally located micromachined hypotube may, in some instances, provide desired bending characteristics to a sphincterotome.

Abstract: A method for percutaneously implanting a medical catheter, such as a gastrostomy feeding tube, and a medical catheter implanting assembly. In one embodiment, the implanting assembly includes a gastrostomy feeding tube, an inner sheath and an outer sheath. The feeding tube has an internal bolster integrally formed at its distal end. The inner sheath includes a bore extending distally from its proximal end to a point prior to its distal end and a transverse window communicating with the bore. The outer sheath includes a proximal end, a distal end and a longitudinal bore. The outer sheath is inserted over the inner sheath, and the feeding tube is inserted into the inner sheath, with the internal bolster being folded and tucked into the window and retained therein by the outer sheath. Movement of the outer sheath relative to the inner sheath to expose the window allows the bolster to decompress.

Abstract: A catheter assembly and method for internally anchoring a catheter in a patient. According to one embodiment, the catheter assembly includes a catheter, a tubular fitting coupled to one end of the catheter, and an internal bolster coaxially mounted around the tubular fitting. The tubular fitting has a waist portion, and the internal bolster is secured thereto by a snap-fit. To internally anchor the catheter in a patient, one inserts the end of the catheter to which the fitting is coupled into the patient and then, while the fitting and its coupled end of the catheter are within the patient, inserts the internal bolster over the fitting until it snap-fits into place over the waist portion, thereby internally anchoring the catheter within the patient.

Abstract: A sphincterotome including a cutting wire may be configured such that, when activated, the cutting wire assumes a desired cutting position at or near the “12 o'clock” position or any other desired angular configuration. A sphincterotome may have controlled bending characteristics. A distally located micromachined hypotube may, in some instances, provide desired bending characteristics to a sphincterotome.

Abstract: A catheter assembly and method for internally anchoring a catheter in a patient. According to one embodiment, the catheter assembly includes a catheter, a tubular fitting coupled to one end of the catheter, and an internal bolster coaxially mounted around the tubular fitting. The tubular fitting has a waist portion, and the internal bolster is secured thereto by a snap-fit. To internally anchor the catheter in a patient, one inserts the end of the catheter to which the fitting is coupled into the patient and then, while the fitting and its coupled end of the catheter are within the patient, inserts the internal bolster over the fitting until it snap-fits into place over the waist portion, thereby internally anchoring the catheter within the patient.

Abstract: A medical device for endoscopically deploying a hemostatic clip adapted to compress tissue. The hemostatic clip comprises a ring portion adapted to fit on a distal end of an endoscope and a plurality of legs attached to the ring portion, each of the legs being movable between an open position and a closed position to compress tissue. The device may include an actuator mechanism to move each of the legs from the open position to the closed position. The device may include a releasable attachment connecting the clip to the endoscope. The clip may include a hinge connecting the ring portion to each of the legs.

Abstract: A method for percutaneously implanting a medical catheter, such as a gastrostomy feeding tube, and a medical catheter implanting assembly. In one embodiment, the implanting assembly includes a gastrostomy feeding tube, an inner sheath and an outer sheath. The feeding tube has an internal bolster integrally formed at its distal end. The inner sheath includes a bore extending distally from its proximal end to a point prior to its distal end and a transverse window communicating with the bore. The outer sheath includes a proximal end, a distal end and a longitudinal bore. The outer sheath is inserted over the inner sheath, and the feeding tube is inserted into the inner sheath, with the internal bolster being folded and tucked into the window and retained therein by the outer sheath. Movement of the outer sheath relative to the inner sheath to expose the window allows the bolster to decompress.

Abstract: An access needle suitable for use in percutaneous endoscopic jejunostomy procedures. In one embodiment, the access needle includes a stylet assembly, a safety sheath assembly and a cannula assembly. The stylet assembly includes a stylet and a stylet hub. The stylet has a proximal end and a sharpened distal end, the proximal end of the stylet being mounted within the stylet hub. The safety shield assembly includes a sheath and a shuttle. The sheath, which has a blunt distal end, coaxially surrounds the stylet. The proximal end of the sheath is fixed to the shuttle, the shuttle being movable between a first position in which the sharpened distal end of the stylet is exposed and a second position in which the sharpened distal end of the stylet is shielded by the blunt distal end of the sheath. The cannula assembly includes a cannula and a cannula hub, the cannula hub being fixed to the proximal end of the cannula.

Abstract: Several embodiments of the present invention are generally directed to medical visualization systems that comprise combinations of disposable and reusable components, such as catheters, functional handles, hubs, optical devices, etc. Other embodiments of the present invention are generally directed to features and aspects of an in-vivo visualization system that comprises an endoscope having a working channel through which a catheter having viewing capabilities is routed. The catheter may obtain viewing capabilities by being constructed as a vision catheter or by having a fiberscope or other viewing device selectively routed through one of its channels. The catheter is preferably of the steerable type so that the distal end of the catheter may be steered from its proximal end as it is advanced with the body. A suitable use for the in-vivo visualization system includes but is not limited to diagnosis and/or treatment of the duodenum, and particularly the biliary tree.

Abstract: An external bolster for a medical catheter, the external bolster comprising an integral strain relief member for diminishing the effect of an externally-directed force applied to the medical catheter. In a preferred embodiment, the external bolster is a flexible, unitary member comprising a lower portion and an upper portion. The lower portion comprises an annular base, the base having a top surface, a bottom surface and a central opening. A plurality of spaced apart feet extend downwardly from the bottom surface of the base. A sleeve extends upwardly from the top surface of the base in alignment with the central opening, the sleeve and the central opening jointly defining a bore of uniform cross-section. The upper portion comprises an elbow-shaped tubular member having a vertical portion, a horizontal portion and a longitudinal lumen. The vertical portion of the tubular member is disposed on top of the sleeve, with its lumen aligned with the bore.

Abstract: Medical device used to cause hemostasis of blood vessels using a clip arrangement delivered to a target region through an endoscope. Method for using the device to cause hemostasis of a blood vessel through an endoscope. Medical device including a reversibly closeable clip, a locking arrangement, a control wire, a sheath, and a handle with an actuating trigger. Through the endoscope, hemostatic clipping device that is fully reversible and lockable. Hemostatic clip that reversibly targets and clips bleeding ulcers.

Abstract: The present invention is directed to features and aspects of an in-vivo visualization system that comprises a catheter having an access port leading to an interior lumen through which an image transmission member is routed, and an endoscope having an access port leading to an interior lumen through which the catheter is routed. The catheter and endoscope are connected by an endoscope attachment device such that a handle of the catheter is mounted distal of the endoscope access port and the catheter access port is distal to the mounted position.

Abstract: An apparatus includes an elongate body including a proximal end portion and a distal end portion and configured to be at least partially inserted into a body cavity. The elongate body defines a first passageway and a second passageway. The first passageway is configured to communicate fluid from the distal end portion in a first direction, and the second passageway is configured to communicate material from outside of the elongate body into the distal end portion in a second direction opposite the first direction and includes at least one port. An actuator is coupled to the elongate body and is configured to guide the distal end of the elongate body to an area of interest identifiable by a virtual colonoscopy.

Abstract: Medical device used to cause hemostasis of blood vessels using a clip arrangement delivered to a target region through an endoscope. Method for using the device to cause hemostasis of a blood vessel through an endoscope. Medical device including a reversibly closeable clip, a locking arrangement, a control wire, a sheath, and a handle with an actuating trigger. Through the endoscope, hemostatic clipping device that is fully reversible and lockable. Hemostatic clip that reversibly targets and clips bleeding ulcers.

Abstract: A method of fabricating an elastomeric structure, comprising: forming a first elastomeric layer on top of a first micromachined mold, the first micromachined mold having a first raised protrusion which forms a first recess extending along a bottom surface of the first elastomeric layer; forming a second elastomeric layer on top of a second micromachined mold, the second micromachined mold having a second raised protrusion which forms a second recess extending along a bottom surface of the second elastomeric layer; bonding the bottom surface of the second elastomeric layer onto a top surface of the first elastomeric layer such that a control channel forms in the second recess between the first and second elastomeric layers; and positioning the first elastomeric layer on top of a planar substrate such that a flow channel forms in the first recess between the first elastomeric layer and the planar substrate.

Abstract: A method of fabricating an elastomeric structure, comprising: forming a first elastomeric layer on top of a first micromachined mold, the first micromachined mold having a first raised protrusion which forms a first recess extending along a bottom surface of the first elastomeric layer; forming a second elastomeric layer on top of a second micromachined mold, the second micromachined mold having a second raised protrusion which forms a second recess extending along a bottom surface of the second elastomeric layer; bonding the bottom surface of the second elastomeric layer onto a top surface of the first elastomeric layer such that a control channel forms in the second recess between the first and second elastomeric layers; and positioning the first elastomeric layer on top of a planar substrate such that a flow channel forms in the first recess between the first elastomeric layer and the planar substrate.

Abstract: An apparatus and method for ejecting fluid from a fluid delivery system. The fluid delivery system has a pneumatic assembly that when triggered injects gas into a hydraulic assembly, which in turn ejects fluid through an external interface. An electronic interface displays various measurements, for example, how much fluid has been ejected and if the hydraulic system is closed the pressure of the system. The pneumatic assembly can also be depressurized such that fluid can reenter the hydraulic assembly through the external interface.

Abstract: A shaft of a steerable medical device includes a torque tube that allows the tip of the shaft to be torqued from the proximal end. In one embodiment, the torque tube includes a metal tube having a series of opposing cuts therein to form a number of axially aligned rings that are joined by spacing beams. The cuts are oriented in different directions along the length of the torque tube to allow bending in any direction and effective transfer of rotational torque.