Abstract: A delivery system can be provided with an ability to change its configurations to achieve both access to target anatomy and treatment thereof. Such treatments can include directing interventional devices around an occlusion. By providing different functionality at different stages, the need to exchange and replace tools at different stages can be reduced or eliminated. Accordingly, such operations can be completed more rapidly, efficiently, and safely.

Abstract: A delivery device can be provided with a low outer profile and high flexibility for navigating tortuous anatomy. An inner lumen defined by a shaft of the delivery device provides adequate space for delivery devices to target anatomy. Additionally, the delivery device maintains the patency of its lumen even when positioned within tortuous anatomy. The turns of filar(s) forming a coil of the shaft adjust their axial spacing relative to each other to avoiding buckling that would otherwise result in a narrowing of the inner lumen.

Abstract: A delivery system can be provided with an ability to change its configurations to achieve both access to target anatomy and treatment thereof. Such treatments can include directing interventional devices around an occlusion. By providing different functionality at different stages, the need to exchange and replace tools at different stages can be reduced or eliminated. Accordingly, such operations can be completed more rapidly, efficiently, and safely.

Abstract: A delivery system can be provided with an ability to change its configurations to achieve both access to target anatomy and treatment thereof. Such treatments can include directing interventional devices around an occlusion. By providing different functionality at different stages, the need to exchange and replace tools at different stages can be reduced or eliminated. Accordingly, such operations can be completed more rapidly, efficiently, and safely.

Abstract: A delivery device can be provided with a low outer profile and high flexibility for navigating tortuous anatomy. An inner lumen defined by a shaft of the delivery device provides adequate space for delivery devices to target anatomy. Additionally, the delivery device maintains the patency of its lumen even when positioned within tortuous anatomy. The turns of filar(s) forming a coil of the shaft adjust their axial spacing relative to each other to avoiding buckling that would otherwise result in a narrowing of the inner lumen.

Abstract: Inflation devices for inflating intragastric devices and associated systems and methods are disclosed herein. In several embodiments, an inflation device can include a tube, an inner detent, and an outer detent. The tube can extend from a proximal portion of the inflation device to a distal portion of the inflation device, and can include a handle at the proximal portion and a barb at the distal portion. The barb can have a cross-sectional dimension greater than a cross-sectional dimension of a corresponding inflation port of an intragastric device. The inner detent can be positioned over the barb and can include a mating interface. The outer detent can be positioned over the inner detent, and can be configured to attach over a proximal cap of the intragastric device. The tube can be longitudinally advanceable relative to at least one of the inner and outer detents.

Abstract: Inflation devices for inflating intragastric devices and associated systems and methods are disclosed herein. In several embodiments, an inflation device can include a tube, an inner detent, and an outer detent. The tube can extend from a proximal portion of the inflation device to a distal portion of the inflation device, and can include a handle at the proximal portion and a barb at the distal portion. The barb can have a cross-sectional dimension greater than a cross-sectional dimension of a corresponding inflation port of an intragastric device. The inner detent can be positioned over the barb and can include a mating interface. The outer detent can be positioned over the inner detent, and can be configured to attach over a proximal cap of the intragastric device.

Abstract: A sealing device attached to an intragastric balloon device having a head flexibly attached to a body by a pivot portion, where the pivot portion provides the head with a closed state and an open state relative to the body and the intragastric device. The sealing device having one or more plugs configured to seal an aspiration port of a lumen when the head is in a closed state and further configured to release the aspiration port of the lumen when the head is in an open state.

Abstract: Inflation devices for inflating intragastric devices and associated systems and methods are disclosed herein. In several embodiments, an inflation device can include a tube, an inner detent, and an outer detent. The tube can extend from a proximal portion of the inflation device to a distal portion of the inflation device, and can include a handle at the proximal portion and a barb at the distal portion. The barb can have a cross-sectional dimension greater than a cross-sectional dimension of a corresponding inflation port of an intragastric device. The inner detent can be positioned over the barb and can include a mating interface. The outer detent can be positioned over the inner detent, and can be configured to attach over a proximal cap of the intragastric device. The tube can be longitudinally advanceable relative to at least one of the inner and outer detents.

Abstract: A sealing device attached to an intragastric balloon device having a at least one flexible membrane aligned with and configured to seal an aspiration port of a lumen when the membrane is in a closed state and further configured to provide access to the lumen when the membrane is in a open state.

Abstract: Disclosed is a balloon of an intragastric device, comprising, in combination: a core of a first material and having an inner surface and an outer surface; and a coating of a second material on at least one of the inner surface of the core and the outer surface of the core. Disclosed is a method, comprising, in combination: creating a core of a balloon by a core in a first material; dipping at least one of an inner surface of the core and an outer surface of the core in a second material, whereby a coating is formed on at least one of the inner surface of the core and the outer surface of the core. Also disclosed are products by processed disclosed herein. The first material may be of a more dimensional consistency than the second material, have a greater elasticity than the second material, or be primarily of polydimethylsiloxane. The second material may be of higher acid resistance than the first material, be less permeable than the first material, or be primarily of polydiphenylsiloxane.

Abstract: Improved devices and components for securing and retrieving an implantable medical device including at least one of a flanged tip disposed at a distal end of the implantable medical device; a halo retrieval tip disposed at a distal end of the implantable medical device; an external leash disposed at least one of a proximal end, a midportion, and a distal end of the implantable medical device; and an internal leash disposed within an inflatable balloon of the implantable medical device. A method of retrieving an implantable medical device, comprising: securing a retrieval device to at least one of the components described herein; and removing the implantable medical device from a patient.

Abstract: Improved devices and components for securing and retrieving an implantable medical device including at least one of a flanged tip disposed at a distal end of the implantable medical device; a halo retrieval tip disposed at a distal end of the implantable medical device; an external leash disposed at least one of a proximal end, a midportion, and a distal end of the implantable medical device; and an internal leash disposed within an inflatable balloon of the implantable medical device. A method of retrieving an implantable medical device, comprising: securing a retrieval device to at least one of the components described herein; and removing the implantable medical device from a patient.

Abstract: A deflation device including a catheter having a proximal opening at a proximal end and a distal opening at a distal end; and a coring member disposed within the catheter and comprising a handle disposed near the proximal end of the catheter, a cable, and a coring tip disposed near the distal end of the catheter; wherein pressing said distal end of said catheter against said wall of said balloon creates a substantially normalized surface of said balloon relative to a coring tip and wherein the coring tip is a sharpened, hollow cylinder. A method for deflating and removing an implantable, inflatable device comprising: pressing a distal end of a catheter against the wall of an inflated balloon of an implanted device; advancing the coring tip within the catheter beyond the distal end of the catheter and into the balloon, whereby a hole adapted for advancing the catheter is created in the wall of the balloon; and advancing the catheter into the balloon.

Abstract: Disclosed is a balloon of an intragastric device, comprising, in combination: a core of a first material and having an inner surface and an outer surface; and a coating of a second material on at least one of the inner surface of the core and the outer surface of the core. Disclosed is a method, comprising, in combination: creating a core of a balloon by a core in a first material; dipping at least one of an inner surface of the core and an outer surface of the core in a second material, whereby a coating is formed on at least one of the inner surface of the core and the outer surface of the core. Also disclosed are products by processed disclosed herein. The first material may be of a more dimensional consistency than the second material, have a greater elasticity than the second material, or be primarily of polydimethylsiloxane. The second material may be of higher acid resistance than the first material, be less permeable than the first material, or be primarily of polydiphenylsiloxane.

Abstract: Deflation devices including a catheter having a proximal opening at a proximal end and a distal opening at a distal end, and a coring member disposed within the catheter are disclosed herein. In one embodiment, the coring member comprises a handle disposed near the proximal end of the catheter, a cable, and a coring tip disposed near the distal end of the catheter. The distal end of the catheter can be configured to press against a wall of a balloon to create a substantially normalized surface of the balloon relative to a coring tip. A method for deflating and removing an implanted device, in accordance with another embodiment, can include pressing a distal end of a catheter against the wall of an inflated balloon of the device, and advancing the coring tip within the catheter beyond the distal end of the catheter and into the balloon.

Abstract: Disclosed is a balloon of an intragastric device, comprising, in combination: a core of a first material and having an inner surface and an outer surface; and a coating of a second material on at least one of the inner surface of the core and the outer surface of the core. Disclosed is a method, comprising, in combination: creating a core of a balloon by a core in a first material; dipping at least one of an inner surface of the core and an outer surface of the core in a second material, whereby a coating is formed on at least one of the inner surface of the core and the outer surface of the core. The first material may be of a more dimensional consistency than the second material, have a greater elasticity than the second material, or be primarily of polydimethyl-siloxane.

Abstract: A deflation device for use in deflating an inflatable or implantable balloon device, comprising, in combination: an endoscope tube, having a distal end, a proximal end, and a lumen; a cap disposed at the distal end of the endoscope tube and having walls defining a balloon interface chamber; a coring device disposed within the lumen and configured to travel within the lumen such that a distal end of the coring device is extendable beyond the distal end of the cap; wherein the cap is configured to provide a normal surface of a balloon relative to the orientation of the coring device as the coring device is disposed near the distal end of the cap.

Abstract: An in vitro testing process for simulating conditions of a stomach, comprising, in combination: providing an intragastric device to an acetone bath; inducing swelling of the intragastric device; exacerbating weak spots in the intragastric device; observing the results; and estimating the results of an in vivo study. Improvements to an intragastric space filler to reduce failure at a balloon to shaft area including an adhesive fillet, washers, a balloon cuff and collar, a molded in balloon fillet, and a one-piece molded balloon assembly.

Abstract: A deflation device for use in deflating an inflatable or implantable balloon device, comprising, in combination: an endoscope tube, having a distal end, a proximal end, and a lumen; a cap disposed at the distal end of the endoscope tube and having walls defining a balloon interface chamber; a coring device disposed within the lumen and configured to travel within the lumen such that a distal end of the coring device is extendable beyond the distal end of the cap; wherein the cap is configured to provide a normal surface of a balloon relative to the orientation of the coring device as the coring device is disposed near the distal end of the cap.