Abstract: A first balloon is fitted to an insertion portion of an endoscope and a second balloon is fitted to an insertion aid member. An end connector of a tube is connected to a balloon control device that supplies and sucks air into and from the first balloon and the second balloon. A duct that communicates with the first balloon, a duct that communicates with the second balloon, and a duct that communicates with a clearance between the insertion portion and the insertion aid member are formed in the end connector.

Abstract: Composite fiber reinforced balloons for medical devices prepared by applying a web of fibers to the exterior of a preformed underlying balloon and encasing the web with a matrix material to form a composite balloon. The fiber web is applied to at least the cone portion of the underlying balloon form. Either the cone portion of the underlying balloon form, or the web fibers applied to said cone portion, or both, have a friction-enhancing material coated thereon.

Abstract: An inlet flow of heat exchange fluid flows from an inflow housing inlet section, and through an inflow housing main section. It then flows through an inlet fluid passageway formed between an inner balloon and a discharge tube. The flow continues around a distal end of the inner balloon, thus becoming an outlet flow of the heat exchange fluid which is directed through an outlet fluid passageway formed between the inner balloon and an outer balloon, then through an outflow housing main section and finally discharged through an outflow housing outlet section. The inner balloon is in a position offset from the central axis of the catheter. The offset relationship enhances the fluid dynamic properties of the catheter. It provides an increased turbulence, which, in turn, maximizes the heat exchange efficiency.

Abstract: Along with the advancement of cryoablation procedures, there have been developments resulting in technology that can use catheters adapted with cryogenic balloons containing two non-compliant membranes. These cryogenic balloons do not contact significant portions of the targeted tissue, which can result in a longer than desirable ablation procedure. It may be advantageous for these cryogenic balloons to conform to the targeted tissue more effectively than prior advancements have enabled. According to an exemplary embodiment of the present invention, an expansion chamber can contain an inner membrane and an outer membrane. In an exemplary expansion membrane, the outer membrane can conform to an anatomical structure during an ablation procedure and the inner membrane can facilitate a selective expansion of the outer membrane. In a further exemplary embodiment of the present invention, the inner membrane can be provided with a plurality of membranes.

Abstract: A urological medical system for performing a controlled hydrodistention of the urinary bladder for treating a bladder dysfunction problem comprised of a programmed CPU with associated computer equipment for facilitating an automatic control of a treatment procedure to be performed on a patient, a saline solution warmer, a saline solution pump, a four-way catheter wherein a channel is provided for monitoring the pressure within the bladder during the procedure, a syringe for infusing a medicine through the catheter and a strapping device to secure the syringe and to slidingly engage the catheter to a leg of the patient. Desired parameters are monitored during the procedure and a desired pressure is maintained in the bladder for a predetermined time to perform the controlled hydrodistention of the urinary bladder.

Abstract: Multiple-balloon catheters, and methods of treatment therewith, are provided including an inflatable inner balloon at least partially enclosed by an expandable outer balloon that has holes. The annular space between the inner balloon and the outer balloon is configured to promote delivery of the fluid evenly through holes in the outer balloon to avoid problems of underloading and/or overloading. Preferably, the annular space is in communication with the holes, and the annular space is configured to receive and then to release and distribute the fluid via the holes in a substantially uniform manner such that even amounts of fluid are released in the distal and proximal holes. The inner balloon may have various configurations including being tapered relative to the outer balloon. The outer balloon may also be tapered accordingly. The device may also include raised portions disposed in the annular space and configured to define channels having various configurations.

Abstract: A multiple cuff system is disclosed which has more than one cuff some of which may be perforated or permeable in any degree or made of porous materials to let in situ delivery of different drugs, and especially local anesthetics to the target tissues that are the tissues in touch or within the vicinity of the inflated cuff. The local anesthetics suitable to be delivered via the cuff are also introduced. The preferred method for application of the multiple cuffed ETT during surgical operations, can overcome the emergence reactions commonly encountered during lighter levels of anesthesia.

Abstract: A balloon catheter having a safety feature for protecting a patient during a medical procedure in the event the inflated balloon ruptures during the procedure. The catheter contains an outer balloon attached to the distal end of an insertion tube and a second inner balloon totally enclosed within the outer balloon. A vacuum is drawn on the outer balloon to evacuate the interior of the balloon and the inner balloon is then inflated to a desired operating pressure. In the event the inner balloon ruptures while inflated, the inflation fluid is fully contained within the outer balloon as well as any inner balloon fragments that are released due to the rupture.

Abstract: Embodiments of the present invention relate to a balloon dilatation catheter, in particular for percutaneous transluminal coronary angioplasty (PTCA), provided with a guide wire, a supply tube extending parallel to the guide wire and serving for inflating a dilatation balloon, as well as the dilatation balloon arranged in the distal area of the supply tube, wherein the dilatation balloon has a tubular configuration with a wall structure comprising a plurality of tube segments arranged adjacent to each other of which at least one is connected with the supply tube.

Abstract: This invention is new apparatuses and methods for treatments to be used from inside conduits or biological pathways. Examples of the biological pathways in which these new apparatuses and methods may be used include arteries, veins, and respiratory ways. Multi-purpose catheters (10) and catheter systems using structures including wires (2108), balloons (2150), and cords (2204) are described as well as methods to use such catheters and catheter systems. One of the embodiments is a configurable wire system which carries or transports radioactive sources. The wire is used in conjunction with a closed-end channel catheter.

Abstract: A device and method for delivering a bioactive to the uterine wall. In one embodiment, the device comprises a balloon having the bioactive present within the material of the balloon or on an outside surface of the balloon. Another embodiment provides a method comprising inserting the balloon into the uterus, inflating the balloon so that the outside surface of the balloon exerts pressure on uterine wall and delivering the bioactive to the uterine wall.

Abstract: An apparatus for administering a drug to a tumor of a patient includes a first balloon made of a semi-permeable material in which the drug is disposed. The apparatus includes a second balloon disposed in the first balloon, which when expanded forces the drug out of the first balloon, the first and second balloons adapted to be positioned in the tumor for a predetermined post-operative period. A method for administering a drug to a tumor of the patient includes the steps of placing a first balloon having a second balloon disposed in the first balloon in the tumor in the patient. There is the step of filling the first balloon with the drug. There is the step of filling the second balloon with a fluid to expand the second balloon and cause the drug in the first balloon this to be driven out of the first balloon into the tumor.

Abstract: A medical apparatus for widening a stenosis or for deploying a stent in a patient. The apparatus has a central axis and an inflatable outer dumbbell-shaped balloon. The apparatus is insertable into a lumen of a patient for movement of the balloon therein between a deflated configuration and an inflated configuration. The balloon stays in position over the stenosis or the area in need of the stent when it is inflated. The apparatus can include a flexible support member mounted on the external surface of the balloon with at least one microsurgical blade, which forms an effective cutting edge upon inflation of the outer balloon. The apparatus can also include one or more inner balloons that allow higher dilation pressures to be generated from inside the outer balloon. The apparatus can also include a hollow central core that may permit ventilation of the airway during the dilation process.

Abstract: A balloon catheter. The balloon is of a composite material having the flexibility and elastic characteristics of an elastomeric material, yet exhibiting the growth limits of inelastic materials. The balloon may be provided in various shapes. The balloon may be treated to maintain a substantially constant length during inflation and deflation. The balloon may be provided with regions of porosity for the delivery of therapeutic agents, and may be treated to exhibit regions of distinct compliance. Also disclosed is an apparatus, which may be used to impart the regions of distinct compliance into the balloon.

Abstract: A dual balloon catheter apparatus for controlling postpartum hemorrhage in uterine or vaginal cavities or hemorrhage in other body cavities, comprising: (1) a catheter having an inflation lumen and a deflation lumen; (2) a first inflatable balloon in fluid communication with the inflation lumen; and (3) a second inflatable balloon encompassing the first balloon and in fluid communication with the deflation lumen. A gaseous inflation medium can be introduced from an external gas source through the inflation lumen to inflate the first balloon, so as to apply a substantially even pressure along a substantial portion of an inner surface of a uterine cavity to reduce or eliminate bleeding along such inner surface. The second inflatable balloon functions to confine any gaseous inflation medium that escapes from the first balloon, due to leakage or rapture of such first balloon, and to discharge such escaped gaseous inflation medium through the deflation lumen.

Abstract: The present invention regards a therapeutic delivery balloon and includes a system for delivering therapeutic to an irregular interior vessel surface. This system includes a catheter having a proximal end, a distal end, and an internal lumen; a source of fluid in communication with the internal lumen of the catheter; and, a first inflatable balloon having an exterior surface, wherein the balloon is hyper-deformable, is in communication with the internal lumen of the catheter, and has an exterior surface in communication with a therapeutic when the balloon is in expanded state.

Abstract: A catheter assembly for use in radiation therapy of a patient by insertion into a vessel, passageway or cavity to deliver radioactive material to a treatment site within the patient. The distal end of the catheter assembly (10) includes a noncompliant inner balloon (18) therearound that is inflatable with a non-radioactive fluid (such as CO2 or saline or contrast medium), and an outer balloon (16) therearound that is inflated with radioactive fluid (such as radiogas like xenon-133 ) and is noncompliant to conform the vessel wall to the balloon's shape at the treatment site for optimal distribution of dose. The inner balloon allows reduction in volume of the amount of radioactive fluid necessary to achieve a desired dose. The inner and outer balloons (112,108) may be affixed to inner and outer catheters (104,102), respectively.

Abstract: A catheter with two balloons for implanting a stent without flaring at the ends of the stent during implantation has an outer balloon overlying an inner balloon. The length of the inner balloon is shorter than the length of the outer balloon and shorter than a stent which is mounted over both balloons. Upon inflation of the inner balloon, the inner balloon expands only the center of the stent. After the center of the stent is expanded, further application of pressure bursts the inner balloon allowing application of pressure to the outer balloon. The outer balloon is then inflated, expanding the ends of the stent.

Abstract: An assembly for delivery and deployment of an inflation expandable stent within a vessel is comprised of a catheter, an inflation expandable stent, an expandable balloon, and a securement means such as a corrugated tube component or an expandable tube component. The tube component is mounted on the inner shaft beneath the balloon and provides increased securement to the stent in a reduced delivery diameter to maintain the stent on the catheter during delivery to the deployment site. The tube component is adhered to the inner shaft and has a plurality of ribs or is fluid expandable to no more than the delivery diameter and may be comprised of more than one separately inflatable pouch expandable to provide the stent with a substrate seat with increased friction and to decrease the slack in stent recoil crimping. The assembly is used in a method for delivering and deploying a stent, and also adds safety when loading/crimping the stent onto a balloon.

Abstract: A combination dilatation and drug delivery device includes a flexible catheter, a drug delivery sheath mounted to a distal end region of the catheter and a dilatation balloon also mounted to the catheter and contained within a compartment formed by the sheath. The sheath is radially expandable by supplying a liquid therapeutic agent to the compartment under a moderate pressure. The dilatation balloon is expandable by providing a dilatation fluid to the balloon under a much higher pressure. The sheath can be formed of a highly elastic material or can be made quite thin, and in either case is mounted independently of the dilatation balloon. Thus when radially expanded, the sheath is moved into a conforming contact with surrounding vascular tissue. The conforming contact protects tissue and the therapeutic agent from exposure to blood, and more effectively confines the therapeutic agent to the intended treatment area.

Abstract: The present invention relates to a balloon catheter for positioning a stent, including a tubular basic body with a proximal end and a distal end, and at least one lumen extending in between, a balloon close to the distal end which is connected to the lumen, and a stent crimped around the balloon, wherein a filling body of elastic material is arranged inside the balloon and has a size corresponding to at least the dimensions of the stent in compressed state, where the filling body is compressed by the stent in the compressed state.

Abstract: An apparatus and method for shielding non-target tissues and organs during thermotherapy, brachytherapy or other treatment of a diseased target tissue. The apparatus includes a catheter shaft having input and output lumens and at least one inflatable balloon. A plurality of input lumens within the catheter shaft allows the passage of liquid or gas through an input port and into the interior of the balloon thereby inflating the balloon. The gas or liquid can then be cycled through the inflated balloon through an output port and output lumen and out of the catheter shaft. Temperature sensors or other sensors may be attached to the balloon or catheter to monitor temperature or other conditions at the treatment site. The catheter is positioned between the target tissue or organ and sensitive non-target tissues in proximity to the target tissue and inflated causing a physical separation of tissues as well as a physical shield.

Abstract: A combination dilatation and drug delivery device includes a flexible catheter, a drug delivery sheath mounted to a distal end region of the catheter and a dilatation balloon also mounted to the catheter and contained within a compartment formed by the sheath. The sheath is radially expandable by supplying a liquid therapeutic agent to the compartment under a moderate pressure. The dilatation balloon is expandable by providing a dilatation fluid to the balloon under a much higher pressure. The sheath can be formed of a highly elastic material or can be made quite thin, and in either case is mounted independently of the dilatation balloon. Thus when radially expanded, the sheath is moved into a conforming contact with surrounding vascular tissue. The conforming contact protects tissue and the therapeutic agent from exposure to blood, and more effectively confines the therapeutic agent to the intended treatment area.

Abstract: The present invention relates to a device and method for endoluminal delivery of fluid, such as therapeutic fluid, into the vessel wall that minimizes loss of the fluid. In one embodiment, a catheter for delivering fluid or therapeutic into a vessel wall is provided, wherein the catheter has at least one injector for delivering fluid and a sealing mechanism for preventing or minimizing passage of fluid through an unengaged injector.

Abstract: A chemo-thermo applicator insertable into a tubular membrane in the body of an individual to occupy a site therein in which the surface of the membrane is disrupted by cancerous lesions. The applicator includes concentric inner and outer tubular balloons in which the annular space therebetween is filled with a chemotherapy supply the outer balloon being perforated. In operation, a stream of heated air is fed into the inner balloon which acts to inflate this balloon and to heat the supply to cause it to melt and form a cream. Inflation of the inner balloon acts to expand the outer balloon causing it to conform to the surface of the membrane. The pressure imposed on the supply as the inner balloon expands, forces the heated cream to extrude through the outer balloon perforations to coat the surface of the membrane with the heated cream which then functions as a chemo-thermo agent to destroy the cancerous lesions.

Abstract: An inflatable retraction apparatus is provided for retracing an organ inside a body to gain access to an adjacent tissue. The apparatus includes an able chamber formed from a single thin envelope, and capable of being collapsed for insertion through an incision and being expanded to a predetermined shape for retracing the organ. An inflation mechanism is adapted to selectively inflate the chamber to the predetermined shape. The inflation mechanism includes at least one inflation tube attached to the inflatable chamber in fluid communication theretween, and an inflatable maintaining lattice operatively enveloping the inflatable chamber and in operative association with the inflation mechanism.

Abstract: The present invention is directed to a balloon catheter having an irrigation sheath. The balloon catheter has a first expandable membrane forming an occluding balloon. A second membrane forms a sheath about the occluding balloon for providing irrigation to a body lumen. Fluid is provided to the occluding balloon to position the catheter and/or occlude the flow of blood. Fluid is then passed through the sheath to irrigate the target site. In one embodiment of the present invention, the sheath has a plurality of fluid releasing pores.

Abstract: A medical device delivery apparatus has an inner tube with a medical device receiving region at the distal end, a balloon assembly movably disposed about the inner tube and a medical balloon displaceable from the medical device receiving region. A retractable outer sheath is diposed about the inner tube and is movable relative to the inner tube to expose the medical device receiving region. An inflation lumen capable of fluid communication with the medical balloon extends proximally from the balloon. Disposed about the distal portion of the inner tube is an expandable medical device that is distal to the medical balloon. The balloon may be moved within the medical device to expand the medical device.

Abstract: A medical implement that employs a mechanically supported expandable element. In one embodiment, the mechanically supported expandable element is a balloon. In another embodiment, the mechanically supported expandable membrane is a balloon disposed within a cryogenic catheter usable to treat tissue. A variety of illustrative mechanical support schemes are possible.

Abstract: A balloon catheter inflation system. And inflation device includes a housing defining a chamber for an inflation medium. The housing can be coupled to a balloon catheter that has two balloons. The housing can be coupled to the catheter such that the chamber is in fluid communication with the balloons. The inflation system further includes a valve configuration operatively associated with the chamber to provide a first pressure to one of the balloons and a second pressure to the other balloon by a single inflating action that moves the inflation medium from the chamber to the balloons. The balloons of a multiple balloon catheter can each be inflated to a different pressure substantially simultaneously by a single inflating action.

Abstract: The present invention relates to a catheter with a balloon, comprising a double tube consisting of an inner tube and an outer tube disposed concentrically and a balloon fastened at one end to the inner tube and at the other end to the outer tube, and further satisfying the following requirement (A) or (B):

Abstract: A high pressure dilation medical device delivery catheter having a proximal and distal end comprising two tubes mounted generally concentrically about an inner tube. The balloons being characterized as a relatively short inner tube which is inflated with high pressure and a longer outer tube which is inflated with low pressure. The balloons have independent inflation lumens which extend toward the proximal end of the inner tube. A medical device mounting region is disposed about at least a portion of the outer balloon and may have a stent or other medical device mounted thereupon. A retractable outer sheath is further disposed about the medical device mounting region and is operatively connected near the proximal end of the catheter.

Abstract: The present invention regards a therapeutic delivery balloon and includes a system for delivering therapeutic to an irregular interior vessel surface. This system includes a catheter having a proximal end, a distal end, and an internal lumen; a source of fluid in communication with the internal lumen of the catheter; and, a first inflatable balloon having an exterior surface, wherein the balloon is hyper-deformable, is in communication with the internal lumen of the catheter, and has an exterior surface in communication with a therapeutic when the balloon is in expanded state.

Abstract: An assembly for delivery and deployment of an inflation expandable stent within a vessel is comprised of a catheter, an inflation expandable stent, an expandable balloon, and a securement means such as a corrugated tube component or an expandable tube component. The tube component is mounted on the inner shaft beneath the balloon and provides increased securement to the stent in a reduced delivery diameter to maintain the stent on the catheter during delivery to the deployment site. The tube component is adhered to the inner shaft and has a plurality of ribs or is fluid expandable to no more than the delivery diameter. and may be comprised of more than one separately inflatable pouch expandable to provide the stent with a substrate seat with increased friction and to decrease the slack in stent recoil crimping. The assembly is used in a method for delivering and deploying a stent, and also adds safety when loading/crimping the stent onto a balloon.

Abstract: An apparatus and method for treating a disease process in a luminal structure comprises a balloon catheter having a central balloon and two edge balloons. The central balloon may be separately inflated temporally and with different radioactive fluid than the edge balloons. Other arrangements include a wire, stent and concentric balloons, which provide spatial and temporal control enabling differential radioactivity at different spatial locations along the structure.

Abstract: An endovascular aneurysm occlusion device comprising a detachable balloon assembly. The balloon assembly is comprised of an outer balloon and an inner balloon. The outer balloon is formed from a porous material. The occlusion device is expanded within an aneurysm and adhesive material is injected into and perfused through the outer balloon. The adhesive material forms a bond between the aneurysm, the outer balloon, and the inner balloon. The inner balloon is then deflated, which acts to reduce the size of the aneurysm.

Abstract: A combination dilatation and drug delivery device includes a flexible catheter, a drug delivery sheath mounted to a distal end region of the catheter and a dilatation balloon also mounted to the catheter and contained within a compartment formed by the sheath. The sheath is radially expandable by supplying a liquid therapeutic agent to the compartment under a moderate pressure. The dilatation balloon is expandable by providing a dilatation fluid to the balloon under a much higher pressure. The sheath can be formed of a highly elastic material or can be made quite thin, and in either case is mounted independently of the dilatation balloon. Thus when radially expanded, the sheath is moved into a conforming contact with surrounding vascular tissue. The conforming contact protects tissue and the therapeutic agent from exposure to blood, and more effectively confines the therapeutic agent to the intended treatment area.

Abstract: A chemo-thermo applicator insertable into a tubular membrane in the body of an individual to occupy a site therein in which the surface of the membrane is disrupted by cancerous lesions. The applicator includes concentric inner and outer tubular balloons in which the annular space therebetween is filled with a chemotherapy supply the outer balloon being perforated. In operation, a stream of heated air is fed into the inner balloon which acts to inflate this balloon and to heat the supply to cause it to melt and form a cream. Inflation of the inner balloon acts to expand the outer balloon causing it to conform to the surface of the membrane. The pressure imposed on the supply as the inner balloon expands, forces the heated cream to extrude through the outer balloon perforations to coat the surface of the membrane with the heated cream which then functions as a chemo-thermo agent to destroy the cancerous lesions.

Abstract: A back-up retention member drainage catheter (10) for insertion in the bladder and urethra of a patient undergoing a radical prostatectomy surgical procedure. The drainage catheter includes an elongated tubular member (11) having a drainage lumen (14) extending longitudinally therein with an external drainage port (15, 16) disposed near the distal end (12) of the tubular member. A back-up retention member (18) and, in particular, a first balloon (20) is disposed on the elongated tubular member near the distal end and proximal the external drainage port. A primary retention member (19) and, in particular, a second retention balloon (22) is also disposed on the elongated tubular member around the first retention balloon. First and second inflation lumens (21, 23) extend longitudinally through the elongated tubular member and communicate internally with the first and second retention balloons, respectively.