Abstract: An apparatus for providing hemostasis within a puncture through tissue includes an elongate member having a lumen extending between proximal and distal ends thereof, an expandable member carried on the distal end and a housing on the proximal end, the housing including an interior communicating with the lumen, and further including a valve assembly with a one-way valve allowing access into the housing interior upon application of a pressure differential across the valve, and a movable plunger for overriding and opening the valve.

Abstract: An indwelling catheter is positioned in a urinary tract to drain urine from the bladder to a position distally adjacent to a sphincter muscle. A balloon of the catheter is inflated through an inflation tube extending through the urinary tract. A coiled section of the inflation tube contacts the constriction caused by the sphincter muscle. The balloon and the coiled section resist movement of the indwelling catheter while still permitting natural urination. The indwelling catheter is inserted by an insertion tool which is separably connected to the catheter. Once the indwelling catheter is positioned, the tool is disconnected and withdrawn from the urinary tract. Risks of blood clots obstructing the flow of urine through the indwelling catheter immediately following a surgical procedure on the prostate gland are avoided by flushing fluid through the insertion tool and the catheter to clear an internal urine flow passageway in the catheter.

Abstract: The invention relates to apparatus (A) for injection of therapeutic agents into surrounding lumenal tissue, for example, to treat urinary incontinence and gastroesophageal reflux disease.

Abstract: A balloon catheter is disclosed including a “no-fold” balloon at a distal end thereof that surrounds a distal portion of a guidewire shaft having a compliant shaft or tubular section for selectively gripping a guidewire there within. Upon introduction of inflation fluid at low pressure values, the compliant shaft section of the guidewire shaft is radially compressed to “lock” onto the guidewire while an outer diameter of the no-fold balloon remains unchanged. The simultaneous compression of the compliant shaft section against a guidewire located within the guidewire lumen and the filling of the balloon with inflation fluid without expanding the balloon provides a clinician with a conjoined balloon catheter and guidewire ensemble that together may be pushed through a tight stenosis such as a chronic total occlusion (CTO).

Abstract: Embodiments provide methods and systems for treating aneurysms using filling structures filled with a curable medium. An embodiment of a method comprises positioning at least one double-walled filling structure across the aneurysm and filling the structure(s) with a filling medium so that an outer wall conforms to the inside of the aneurysm and an inner wall forms a generally tubular lumen to provide for blood flow. The lumen is supported with a balloon or other expandable device while and/or after filling. The pressure within the structure and/or in the space between an external wall of the structure and the aneurysm wall is monitored and a flow of the medium into the structure is controlled responsive to the pressure. The pressure can also be used to determine a filling endpoint. The medium is hardened while the lumen remains supported by the balloon. The balloon is then removed after the medium hardens.

Abstract: A catheter can include a shaft; an inflatable balloon having a proximal end that is anchored to an end of the shaft; an elongate member that is separate from and disposed inside the shaft, extends into an interior chamber of the balloon, and is anchored to a distal end of the balloon; and a spring member that exerts a distally-oriented longitudinal force on the elongate member, relative to the shaft, where the distally-oriented longitudinal force causes the balloon to be biased in an extended position, away from the end of the shaft. The catheter can further include a sheath that surrounds the shaft and balloon before a treatment procedure. The balloon can be configured to be advanced outside the sheath during a treatment procedure and inflated, and the spring member can be configured to facilitate deflation and withdrawal of the balloon into the sheath following the procedure.

Abstract: A malecot device includes a textile material covering its deployable malecot wing portion. The textile material is woven in a manner allowing it to be compactly disposed around an undeployed malecot and then expanded to cover malecot wings when those wings are deployed to an expanded outer device diameter.

Abstract: Systems and methods for delivering a substance (e.g., a therapeutic or diagnostic substance, drug, biologic, cells, etc.) or device (e.g., implantable device, sensor, electrode, etc.) to a specific location within a tissue mass (e.g., an organ, tumor, other mass of body tissue, etc.) that is located a spaced distance from an open or fluid-filled space, body cavity or body lumen.

Abstract: A medical device, at least a portion of which is formed from a polymer composition including at least one liquid crystal block copolymer having at least one A block and at least one B block wherein the A block is formed of mesogenic repeat units and the B block is a soft block.

Abstract: In accordance with certain embodiments of the present disclosure, a catheter is provided. The catheter includes a body having a proximal portion and a distal portion. The body comprises a first element sealably interwoven with a second element to define a longitudinally extending lumen configured to pass fluid therethrough. The first element is wound in a clockwise direction and the second element is wound in a counterclockwise direction. The body further comprises a mechanism configured to cause the distal portion of the body to move toward the proximal portion causing the diameter of the lumen to increase.

Abstract: Methods and devices with two individual tubes for treating abdominal aortic aneurysm that bypass the aneurysm and are placed from the upper aorta to the iliac arteries. A separate upper cuff may also be provided, to secure the tubes above the aneurysm.

Abstract: Disclosed is an expandable transluminal sheath, for introduction into the body while in a first, small cross-sectional area configuration, and subsequent expansion of at least a part of the distal end of the sheath to a second, enlarged cross-sectional configuration. The sheath is configured for use in the vascular system and has utility in the introduction and removal of implant delivery catheters. The access route is through the femoral arteries and the iliac arteries into the aorta. The distal end of the sheath is maintained in the first, low cross-sectional configuration during advancement to the arteries into the aorta. The distal end of the sheath is subsequently expanded using a radial dilatation device, which is removed prior to the introduction of implant delivery catheters. In an exemplary application, the sheath includes a supported proximal end, a supported distal end, and a collapsible center section.

Abstract: A trocar cannula assembly can have a retention mechanism for advanced fixation. The retention mechanism can include a first, or distal balloon, and a second or proximal balloon to retain the position of the trocar cannula assembly with respect to a body wall of a patient. An inlet can be fluidly coupled to the retention mechanism via a fluid conduit so that the balloons can be selectively inflated and deflated. The retention mechanism can be coupled to the cannula, forming an integrated cannula assembly, or the retention mechanism can be removably attached to the cannula. Where the retention mechanism is removably attached to the cannula, it can include a double layer inflatable member with an outer layer including the first and second balloons, and an inner layer for retaining the cannula.

Abstract: An endoscope apparatus, comprising: an endoscope with a balloon attached to a tip end part of an insertion section, and an insertion assisting tool into which the insertion section of the endoscope is inserted and which assists the insertion section in being inserted into a body cavity, wherein a tip end part of the insertion assisting tool is constructed to have a diameter enlarging structure capable of being enlarged in diameter, and by enlarging a diameter of the tip end part, a balloon of the insertion section protruded from a tip end of the insertion assisting tool is made extractable from the insertion assisting tool.

Abstract: A feeding tube for insertion into a digestive system of a subject includes a tube having a distal end and a proximal end. The tube defines a lumen extending from the proximal end to the distal end. The lumen has an inner diameter sized to accommodate the passage of alimentation to the digestive system of the subject. The distal end is arranged to be positioned through the subject's esophagus and into the digestive system of the subject. An expandable member is disposed at the distal end. The expandable member is expandable to an outer diameter that is larger than an inner diameter of the subject's respiratory tract to prevent insertion of said lumen therein.

Abstract: An enteral feeding unit that reduces the occurrence of gastro-esophogeal-pharynegal reflux during feeding includes an automatable feeding pump with a feedback sensor for sensing a relative pressure in a patient's stomach and esophagus, and a regulator system for controlling and monitoring feeding rate to the patient as a function of the relative gastro-esophageal pressure. The system includes a stomach probe that provides a fluid-tight closure of the esophagus. The stomach probe includes a tampon-bladder for watertight closure of the esophagus, in which the tampon-bladder is formed of flexible and/or elastic material. At least an inner cavity of the bladder is provided for the reception of a fluid medium.

Abstract: A catheter for providing an embolic material at a desired location comprises a flexible tubular member having a proximal end and a distal end, the tubular member including at least one ring of expansible material affixed to its outer surface less than 25 mm from the distal end. The ring preferably comprises a material that expands in volume when in contact with a liquid, such as a hydrogel or hydrogel foam, or in response to an application of heat. The ring is fully expanded after between 10 and 30 minutes of contact with a liquid. The catheter may also include further including a plurality of radioopaque markers spaced along the tubular member at predetermined intervals.

Abstract: The invention provides devices that can be used to deliver a therapeutic agent to a treatment site within the vessel of a patient at increased pressure, while limiting the contact with and pressure placed on the vessel walls. Devices according to the invention include an expandable structure arranged around and on a tube having a lumen. The expandable structure may include a sealing ring that makes contact with the interior surface of a vessel to prevent or decrease fluid flow during delivery of a therapeutic agent. This allows delivery of a therapeutic agent with decreased risk of injury to the treatment site. The invention also provides for large lumen diameters, preventing shearing stress on therapeutic agents such as cell slurries.

Abstract: A catheter comprises a first catheter shaft comprising a wall. The wall comprises at least one section of electroactive polymer having an actuated state and a non-actuated state and defines a first lumen. In the actuated state the first lumen haves a first diameter and in the non-actuated state the first lumen haves a second diameter, the first diameter being different than the second diameter.

Abstract: A device for collapsing a balloon in the vasculature of a patient after an angioplasty procedure includes a balloon and at least one elastomeric member that is attached to the inner surface of the balloon at a plurality of attachment points. Preferably, the elastomeric member is an annular band that will stretch during balloon inflation. Consequently, when the balloon is deflated, the elastomeric member pulls on the balloon at its attachment points to return the balloon to a predetermined configuration, wherein the balloon collapses inwardly onto itself for subsequent removal of the balloon from the vessel.

Abstract: A retainer is provided which can be affixed to a medical tube, such as a catheter, or formed with the tube. The retainer has a base portion which is fixed to the tube. An expandable width portion is coupled to the base portion. This expandable width portion can transition between a collapsed configuration and an expanded configuration, with the expanded configuration wider than the base portion and the collapsed configuration narrower than the expanded configuration. This retainer is located on a portion of the tube which is subcutaneous but near the skin. After the tube is positioned where desired, the retainer is transitioned from the collapsed configuration to the expanded configuration. The retainer then resists removal of the tube, due to the expanded width of the retainer and its location beneath the skin. The tube fitted with the retainer can be a PICC line or other form of medical tube.

Abstract: A device for fixing a tube member in a cavity of a patient. The device includes a body that surrounds the tube member and has a casing that at least partly forms an inner space. The body is expandable by supplying a fluid to the inner space in such a way that the fluid in the inner space has a working pressure. Furthermore, the body has, in a non-expanded state, a relatively small outer extent, which permits the introduction into said cavity, and in an expanded state, a relatively large outer extend, which permits fixing in said cavity by abutment with a contact pressure against a tubular wall of the cavity. In order to ensure a tight abutment against the wall of the cavity, the body has such a geometrical shape that the contact pressure is substantially constant independent of variations of the working pressure within a normal working range.

Abstract: A device for occluding a vessel employs one of a number of different expansion members joined to one or more elongate members. The expansion member may include a braid, one or more coils, ribs, a ribbon-like structure, a slotted tube, or a filter-like mesh. If the expansion member is enclosed by a suitable membrane, the device seals with the vessel wall to partially or completely occlude the vessel. A perforated membrane may be used to permit the perfusion of blood. The expansion member may be self-expanding, or it may be expanded by engaging it with one of the elongate members. Alternatively, the expansion member may be expanded by heating it.

Abstract: An intravascular catheter with micro spines that penetrate arterial wall to delivery drug or mechanical injury to the vessel wall inducing a “stent” like healing process in the vessel.

Abstract: A system and related methods for maintaining the patentcy of the ureter comprising a pusher tube having a pusher tube lumen and an inflate lumen disposed within a wall of the pusher tube and a urinary stent having a proximal and distal portions with an elongated body portion therebetween configured to fit the ureter of the patient and defining a lumen. The system further includes an end-effector that may comprise an inflatable balloon positioned at the proximal portion of the urinary stent for retaining the proximal portion in the urinary bladder. At the distal portion, a retention end-piece is positioned for retaining the distal portion of the stent in the renal pelvis. The end-effector and the retention end-piece of the stent maintain the elongated body portion in situ. The end-effector may also include an inflatable balloon and may contain pharmaceutical or biologic agents for controlled release into the bladder.

Abstract: An enterostomy device for providing fluids and nutrients through a stoma formed through the abdominal wall of a patient is described. The enterostomy device, which may be configured as either a gastrostomy device or a jejunostomy device, comprises a low-profile retaining member which is configured to be unobtrusively positioned within the stomach or the intestine, and which is configured to provide sufficient surface area for contacting the stomach or intestine to prevent unintentional removal or release of the enterostomy device from the patient. The enterostomy device is also structured with a low-profile port hub for facilitating the inflation of the retaining member and feeding and venting through the stoma.

Abstract: A catheter apparatus for gaining access into the uterine cavity in order to perform minimally invasive surgery or diagnostic procedures related to a uterus and fallopian tubes, includes a single-lumen catheter; and an elongated balloon disposed distally on the single-lumen catheter for insertion into a cervical canal of the uterus. The balloon has opposing portions which occlude openings of the cervical canal when inflated. A fluid displacement sleeve is slidably disposed over the single-lumen catheter. The sleeve is moveable over the elongated balloon to inflate the portions of the balloon which are adjacent the opposite openings of the cervical canal when the balloon is inserted therein. Because there is no need for a balloon inflation lumen, the outer diameter of the catheter can be minimized and the cost of the apparatus is reduced.

Abstract: An angioplasty catheter assembly having an anchoring catheter within a guide catheter such that the anchoring catheter anchors to the guide catheter and the inner wall of a coronary artery; the anchoring catheter has an opening in its tubular wall such that a guide wire and balloon dilatation catheter can be disposed therethrough and extending through the length of the anchoring catheter.

Abstract: The present invention relates to an alignment device and method for facilitating alignment of a medical instrument with the tubal ostium of the Fallopian tubes. More particularly, the alignment device includes an expandable member, either in the form of a balloon member or sponge member, which is expandable from a contracted state to an expanded state by a fluid. In addition, the alignment device includes a catheter member attached to the expandable member and also includes, guiding means, in the form of passageways or the like, for guiding a medical instrument through the expandable member.

Abstract: The present invention relates generally to a device for adding stiffening support to a guidewire so as to enable the guidewire or device to pass through a chronic total occlusion. A method for passing a guidewire through a chronic total occlusion is also disclosed.

Abstract: A perfusion cannula for treating a patient. The, cannula includes a hollow tube adapted for insertion into a vessel of the patient and adapted for fluid flow. The tube has a proximal end. The tube has a primary hole disposed in proximity to the proximal end for release of fluid from the tube and at least a first perfusion hole disposed in the tube wall for release of fluid from the tube. The cannula includes a widener extending from the outer surface of the tube and effectively extending the outer diameter of the tube. The inner diameter of the tube is smooth and continuous and has a circular, cross-section throughout. The widener is in spaced relation from the proximal end and in proximity to and in operational relation with the first perfusion hole wherein fluid in able to escape from the first perfusion hole without obstruction by the vessel wall when the tube is in the vessel wall. A perfusion cannula for treating a patient having at least a first ridge. A system for treating a patient.

Abstract: Microbicidal and spermicidal devices, methods, and compositions containing sodium dodecyl sulfate or related anionic surfactants as active ingredients for the prevention and control of pregnancy and sexually transmitted disease, including conditions caused by non-enveloped viruses such as human papilloma virus.

Abstract: Devices and methods for managing a portion of an intravascular catheter which is extending from the body of a patient under operating room conditions (e.g., while a physician is wearing surgical gloves). A catheter in accordance with one embodiment of the present invention includes a catheter shaft having a proximal end and a distal end, and a keeper fixed to the catheter proximate a proximal end thereof The keeper includes one or more inside surfaces defining a channel which is adapted to entrap a straight portion of the catheter shaft. The keeper also includes a passageway which is adapted to allow a curved portion of the catheter to pass into the channel of the keeper.

Abstract: An x-ray catheter has an x-ray tube having an x-ray source therein and an x-ray transparent window through which x-rays may pass is positioned with retractable needles or suction. The needles, if present, are retractably attached to a hinge which is operatively connected to a control that extends or retracts the needles from the device, the needles positioned adjacent the x-ray transparent window so as not to impede the flow of x-rays. Alternatively, suction opening operatively connected to a vacuum source positions the x-ray source at the desired site.

Abstract: An improved endotracheal tube has a balloon at the distal end. The balloon is flexibly attached to the tube by a connector sleeve. The connector sleeve includes an area that is unattached to either the balloon or the tube. The unattached area of the connector sleeve permits relative movement between the balloon and the tube.

Abstract: An improved catheter assembly and method are provided for delivering angulated stents to a diseased vessels. The assembly allows for the precise delivery of an angulated stent into a side branch vessel that is at varying angles with respect to a main vessel. The assembly includes a single balloon Y-shaped balloon catheter having a restraining member attached to the distal section of the catheter to assist in proper delivery of the angulated stent. The restraining member of the catheter assembly of the present invention is configured to prevent the deployment of an angulated stent unless proper orientation of catheter assembly is first achieved. Because a pre-mounted stent is oriented to coincide with the diseased side branch vessel, once proper orientation of the catheter assembly is achieved, deployment of the angulated stent will be precise.

Abstract: An atrial isolator comprising two tubular members, two lumens, drainage ports, and expandable occluders. The expandable occluders are adapted to engage an opening of the superior vena cava into the right atrium or the inferior vena cava and right tricuspid valve into the right atrium. The second tubular member is inserted into the lumen of the first tubular member to provide a displacement between the first expandable occluder and the second expandable occluder which is adjustable. A cardioplegia port is located between the two expandable occluders and in communication with a cardioplegic lumen. Methods of using such an atrial isolator are also disclosed, particularly to provide circulatory isolation of the heart and coronary blood vessels, and cardioplegia delivery.

Abstract: A unitary, integral dual lumen occlusive cannula having two lumina of a size, e.g. 0.05 to 0.15 cm2, sufficient for bypass blood flow, having an inlet formed in a configuration for complete removal of residual air and debris from the circulatory system is disclosed.

Abstract: Disclosed herein is a catheter for use in an emboli containment system. In one embodiment, the catheter has a tubular body with a metallic braid construction. Two lumens extend through the tubular body, the lumen being in a side-by-side configuration. One of the lumens functions as an inflation lumen, and is in fluid communication with an inflatable balloon mounted on the distal end of the catheter. The second lumen is adapted to receive other therapeutic catheters which comprise the emboli containment system. In another embodiment, apparatus is provided for treatment of a stenosis in a lumen in a blood-carrying vessel comprising a main catheter and a therapeutic catheter. The main catheter comprises a first flexible elongate tubular member having proximal and distal extremities. A sealing element is carried on the distal extremity of the first flexible elongate tubular member.

Abstract: An enterostomy device for providing fluids and nutrients through a stoma formed through the abdominal wall of a patient is described. The enterostomy device, which may be configured as either a gastrostomy device or a jejunostomy device, comprises a low-profile retaining member which is configured to be unobtrusively positioned within the stomach or the intestine, and which is configured to provide sufficient surface area for contacting the stomach or intestine to prevent unintentional removal or release of the enterostomy device from the patient. The enterostomy device is also structured with a low-profile port hub for facilitating the inflation of the retaining member and feeding and venting through the stoma.

Abstract: The invention concerns a balloon catheter (1) for dilating vascular constrictions and for simultaneously introducing a permanently deformable stent (9) into the vessel to be dilated in order to stabilize it in the dilated condition, wherein the distal region of the catheter which is intended to receive the stent has an inner tube (2) which is surrounded by the non-expanded stent, the balloon (7) is arranged between the stent (9) and the inner tube (2) and the inner tube has at its ends as X-ray markings two sleeves (3, 4) which are carried thereon and which comprise an X-ray-opaque material and which are provided within the balloon on the inner tube, wherein provided between the inner tube and the outer balloon is a tube (5) which forms an additional plateau and which comprises a soft-elastic material as an intermediate layer, in such a way that it extends in the longitudinal direction to beyond the sleeves forming the X-ray markings.

Abstract: Methods of enhancing fluid flow through a vascular site occupied by a vascular occlusion, as well as systems and kits for use in practicing the same, are provided. In practicing the subject methods, the vascular site is flushed simultaneously with a first dissolution fluid (e.g., an organic matter dissolution fluid and/or an inorganic matter dissolution fluid), and a second dissolution fluid attenuating fluid, where flushing is carried out in a manner such that only a surface of the vascular occlusion is contacted with the non-attenuated dissolution fluid. Examples of dissolution fluid/dissolution fluid attenuating fluid pairs include: (1) oxidizing agent fluid and fluid comprising oxidizable neutralizing agent; (2) surfactant fluid and phosphate buffered saline; (3) acidic solution and phosphate buffered saline; etc. Flushing is carried out in this manner for a period of time sufficient for fluid flow through the vascular site to be enhanced, e.g. increased or established.

Abstract: A device for occluding a vessel employs one of a number of different expansion members joined to one or more elongate members. The expansion member may include a braid, one or more coils, ribs, a ribbon-like structure, a slotted tube, or a filter-like mesh. If the expansion member is enclosed by a suitable membrane, the device seals with the vessel wall to partially or completely occlude the vessel. A perforated membrane may be used to permit the perfusion of blood. The expansion member may be self-expanding, or it may be expanded by engaging it with one of the elongate members. Alternatively, the expansion member may be expanded by heating it.