Abstract: A balloon catheter having an improved maneuverability. The catheter includes an elongated catheter shaft with proximal and distal ends, proximal and distal shaft sections, a balloon on the distal catheter shaft section having proximal and distal shaft sections, a guidewire receiving lumen extending along at least a portion of the catheter shaft to the catheter shaft distal end, and a tip member on a distal end of the catheter. A proximal end of the tip member is spaced distally apart from the distal end of the catheter shaft and is in fluid communication therewith. The distal balloon shaft is sealingly secured to the catheter shaft and the tip member.

Abstract: A process for forming a heat weld between a catheter shaft and a surrounding balloon comprises selecting an elongate catheter shaft formed of thermoplastic polymeric material that is opaque to red and near-infrared light, and selecting a balloon formed of thermoplastic polymeric material that is transparent or translucent to red and near-infrared light. While a neck of the balloon is fitted in close contact around a distal portion of the catheter shaft, a laser beam of red and near-infrared light is applied through the balloon neck to impinge on the underlying opaque distal shaft, which is heated thereby. Heat from the shaft is conducted into the surrounding balloon neck so that adjacent annular portions of both components melt and mix. The molten materials are allowed to cool, forming a secure weld joint between the neck and the shaft. The process yields strong, flexible bonds between balloons and catheter shafts that may be selected from a wide variety of materials.

Abstract: An intraluminal catheter comprising an elongated catheter shaft having proximal and distal ends and at least one lumen, and a tip member on a distal end of the catheter having a proximal end spaced distally apart from the distal end of the catheter shaft.

Abstract: A catheter balloon having a controlled failure mechanism such that release of pressure contained within the balloon occurs in a controlled fashion when a predetermined inflation pressure in excess of normal operating pressure is reached within the balloon. The failure mechanism is the result of incorporating a failure mechanism into at least one end of the balloon, for example, with a controlled amount of attachment of the at least one end to the catheter shaft. This end of the balloon therefore fails at a predetermined pressure with the failure occurring before catastrophic failure of the balloon by rupture between the balloon ends. The controlled failure mechanism allows for non-catastrophic failure such that the balloon remains intact following failure and remains easily withdrawable from the body conduit into which it has been inserted.

Abstract: An intraluminal catheter comprising an elongated catheter shaft having proximal and distal ends and at least one lumen, and a tip member on a distal end of the catheter having a proximal end spaced distally apart from the distal end of the catheter shaft.

Abstract: A balloon catheter having a balloon disposed upon an elongate shaft near a relatively rigid distal insertion tip, a fluid lumen for fluid communication with a body cavity and an inflation lumen for fluid communication with the balloon. The balloon holds the catheter tip within a body cavity such as the stomach for long-term enteral feeding. The balloon is configured such that upon inflation, the balloon distends distally to cover the distal tip thus insulating it from sensitive anatomy.

Abstract: A catheter having a flexible outer tube and a lubricious inner tube bonded within the flexible outer tube. One catheter has a distal outer tube formed of a substantial portion of a first, flexible material, an inner tube having a lubricious inside wall surface formed of a second, lubricious material, and an outer tube wall surface compatible with heat bonding the inner tube outside wall surface to the outer tube wall surface. A preferred flexible material is polyether block amide (PEBA) and a preferred lubricious material is polyethylene. One catheter utilizing the invention includes a flexible distal outer tube having an orifice through the tube wall and an inner tube inserted through the orifice having a lubricious inner layer surrounded by a tie-layer, surrounded in turn by the same flexible material forming the outer tube.

Abstract: Disclosed herein is a compliant catheter balloon with an improved elastic response and reduced longitudinal expansion, and a method of forming the same. The balloon comprises a SEBS block copolymer, which is longitudinally pre-stretched during the balloon manufacture process. In order to control the working length of a balloon on a catheter, at least one adhesive stop is provided on the catheter which prevents adhesive from wicking into the working length of the balloon. Preferably, a pair of thermoset tubings with an outer diameter size close to the size of the inner diameter of the balloon are inserted on the distal portion of the catheter. After the proper placement of the balloon, the adhesive is applied at the balloon's proximal and distal ends. As the adhesive wicks to the balloon, the thermoset tubings will eventually stop the adhesive to prevent further wicking of adhesive into the balloon's working length.

Abstract: Method for developing an anatomic space for laparoscopic hernia repair comprising separating a first layer of tissue from a second layer of tissue for creating an anatomic operating space for the performance of a surgical procedure by making an incision through the first layer of tissue. A non-elastomeric deflated balloon is introduced into the incision. The balloon is inflated to cause separation of the first layer of tissue from the second layer of tissue to thereby produce an anatomic operating space. The balloon is then deflated and removed from the incision. The anatomic operating space is inflated with insufflation gas. A surgical procedure in then performed in the anatomic operating space.

Abstract: A method of bonding polymeric materials, in particular, polymeric materials comprising silicone, is provided along with medical devices comprising materials bonded together by said method. More specifically, the method of the present invention involves surface treating the surface of a polymeric material, preferably a polymeric material comprising silicone, such that the character of the surface of the material changes in a manner such that bondability of the material is enhanced. The surface of the surface treated polymeric material is then brought into contact with the surface of a second polymeric material and optionally, an adhesive, under conditions effective to bond the surfaces together. The bond so formed is stronger than a corresponding bond between untreated polymeric materials.

Abstract: A bifurcated catheter assembly is provided for treating bifurcated vessels. The bifurcated catheter assembly comprises an elongate main catheter shaft having a stiffer proximal portion, a more flexible distal portion, and a pair of branch catheters attached to the distal portion. An expandable member is located on each of the branch catheters. The balloons are held together to provide a low profile as the device is advanced over the tracking guide wire. Upon reaching the bifurcated vessel, the balloons separated and are advanced over separate guide wires into separate branches of the bifurcated vessel. The bifurcated catheter assembly can be used to dilate a stenoses or deliver and implant a Y-shaped stent in the bifurcation.

Abstract: An intraluminal catheter, particularly a dilatation catheter for angioplasty procedures, which has a shaft section formed of a blend of lubricous and bonding polymeric components in proportions to maintain a low coefficient of friction while maintaining the ability to bond non-lubricous polymeric material, such as polyethylene terephthalate, nylon, or PEBAX, to the segment.

Abstract: An intra-aortic balloon catheter having an ultra-thin stretch blow molded balloon membrane. The balloon membrane is made from thermoplastic elastomeric and/or semicrystalline materials such as but not limited to polyurethane and polyetheramid.

Abstract: The catheter of the invention generally has component parts made of polymeric materials and a fusion bond between these catheter parts containing a compatibilizing material which enhances the miscibility of the polymeric materials to facilitate the formation of the fusion bond. The catheter parts formed of polymeric materials may not be sufficiently miscible to readily form a fusion bond. The compatibilizing material increases the miscibility of the catheter parts in the molten state to effect the fusion bond between the polymeric materials. Chemical primer and plasma surface treatments may be used to provide the catheter parts to be bonded with functional groups which improve miscibility with the compatibilizing material.

Abstract: A bifurcated catheter assembly is provided for treating bifurcated vessels. The bifurcated catheter assembly comprises an elongate main catheter shaft having a stiffer proximal portion, a more flexible distal portion, and a pair of branch catheters attached to the distal portion. An expandable member is located on each of the branch catheters. The balloons are held together to provide a low profile as the device is advanced over the tracking guide wire. Upon reaching the bifurcated vessel, the balloons are separated and are advanced over separate guide wires into separate branches of the bifurcated vessel. The bifurcated catheter assembly can be used to dilate a stenoses or deliver and implant a Y-shaped stent in the bifurcation.

Abstract: A balloon protector for the balloon of a dilatation catheter includes a distally extending flared section that defines a funnel receptive to a guidewire in order to facilitate backloading of the guidewire into the catheter.

Abstract: A method and an apparatus are provided for delivery of radiation in vivo. A device includes a seal located proximal to a balloon through which a cavity of the balloon is inflated with a composition including a radioactive compound. The seal includes a passage therethrough which provides the only access to the balloon cavity and terminates at the proximal end of the balloon. The passage through the seal provides fluid communication with an inflation lumen within the medical device lumen, wherein a ratio of an inner diameter of the inflatable member to an inner diameter of the inflation lumen is about 0.5 or greater. In such a construction, inflation and evacuation can be accomplished without contamination of the entire medical device lumen. Thus, substantially all of the solution including the radioactive compound can be evacuated from the balloon cavity after treatment due to the positioning of the passage in the seal.

Abstract: A balloon catheter having concentric, elongate lumen and guide tubes defining a lumen therebetween. An annular balloon has its proximal end secured to the lumen tube and its distal end secured to the guide tube. Relative axial movement of the tubes adjusts the balloon between retracted and extended positions. Processes for using the balloon catheter are also disclosed including performing angioplastic procedures on a plurality of stenoses of differing longitudinal extents during a single catheterization procedure, implanting self expanding stents in blood vessels treating occluded blood vessels and apply medications to diseased blood vessels.

Abstract: An improved multi-function catheter structure having an inflatable balloon structure at its distal end, to selectively occlude a vascular lumen, provide antegrade perfusion liquid distally of the inflatable balloon, and provide retrograde perfusion proximally of the inflatable balloon is described.

Abstract: The present invention provides a balloon catheter with a length compensator, which can be an accordion section or a slipping sleeve section. In the accordion section embodiment of the invention, the outer shaft of the catheter includes an accordion section positioned proximally of the balloon. In this embodiment the length compensator is comprised of the accordion section and the outer shaft between the accordion section and the point where the proximal end of the balloon is attached to the outer shaft. The distal end of the balloon is attached to an inner shaft. As the balloon is inflated the accordion section expands to adjust the axial length of the length compensator to compensate for the movement of the two ends of the balloon towards each other. In the slipping sleeve embodiment of the invention, the inner shaft of the catheter includes a slipping sleeve section positioned proximally of the point where the distal end of the balloon is connected to the inner shaft.

Abstract: A polymeric heat shrinkable tubular sheath for mounting about a balloon on a dilatation catheter by heat treating at a temperature which does not detrimentally effect the properties of the balloon to shrink the sheath onto the balloon. The tubular sheath is preferably heated to a temperature above body temperature, e.g. 40<100.degree. C., preferably less than 85.degree. C., to heat shrink the sheath onto the balloon. A presently preferred polymeric material is a copolymer of ethylene(75%) and methyl acrylate (25%). The heat shrinkable sheath has an inner lumen with minimum dimensions large enough to facilitate the advancement of the sheath over the exterior of a dilatation balloon without the need for a great deal of manual manipulation by the physician or other operator prior to heat shrinking.

Abstract: The invention provides a nested tubing cannula which comprises outer and inner elongate tubular members, both having a proximal end, a distal end, and a lumen therebetween. The inner tubular member is sealed at its distal end and is nested substantially coaxially within the lumen of the outer tubular member, so that the gap between the inner and the outer tubular member defines a second lumen whereas the first lumen is the lumen of the inner tubular member. A tubular sleeve is disposed coaxially between the inner and outer tubular members. A balloon is mounted on a distal region of the outer tubular member and is in communication with the first lumen. The cannula further comprises a port proximal or distal the balloon occluder and is in communication with the second lumen. Methods for making the devices herein are disclosed.

Abstract: Balloons for medical devices, particularly balloon angioplasty catheters, are made from particular block copolymer thermoplastic elastomers in which the block copolymer is made up of hard segments of a polyester or polyamide and soft segments of polyether; the polyester hard segments are polyesters of an aromatic dicarboxylic acid and a C.sub.2 -C.sub.4 diol; the polyamide hard segments are polyamides of C.sub.6 or higher carboxylic acids and C.sub.6 or higher organic diamines or of C.sub.6 or higher aliphatic .omega.-amino-.alpha.-acids, and the polyether soft segments are polyethers of C.sub.2 -C.sub.10, diols; the block copolymer has a low flexural modulus, namely less than 150,000 psi; the block copolymer has a hardness, Shore D scale, of greater than 60; and the percentage by weight of the block polymer attributable to the hard segments is between about 50% and about 95%. The polymers provide high strength, thin wall, compliant and semi-compliant balloons, which leads to a low profile catheter.

Abstract: A medical balloon is collapsed to a small profile during deflation by preventing tension in the catheter or balloon which might otherwise direct the balloon into a larger diameter collapsed profile, making it difficult to remove the catheter from the body. Tension may be avoided by arranging at least one end of the balloon to slide with respect to the catheter body. The invention is particularly applicable to a relatively stiff, inelastic balloon that is preformed into a geometric cross-sectional shape with corners, such as a square balloon, for encouraging a particular collapsed configuration, e.g., three or more folded lobes.

Abstract: A collapsible electrode body is assembled to an end of a catheter tube. A generally rigid stem element having an exterior diameter is connected to the catheter tube. A flexible tube, which has an initial interior diameter smaller than the exterior diameter of the stem element, is deformed into a desired geometry for the electrode body, including a neck region with an enlarged interior diameter greater than the exterior diameter of the stem element. The neck region is slipped about the stem element. Heat is applied to shrink the neck region about the stem element and form a first interference fit junction therebetween. A sleeve is fitted about the first interference fit junction, and heat is applied to shrink the sleeve about the interference fit junction and form a second interference fit junction therebetween. Preferably, after the first interference fit junction is formed, additional heat is applied to thermally fuse the neck region to the stem region.

Abstract: A medical catheter comprising a catheter shaft defining an inflation lumen and a guidewire shaft defining a guidewire lumen. The guidewire shaft is coaxial with the catheter shaft and runs longitudinally through the catheter shaft extending distally beyond the distal end of the catheter shaft. The catheter has an inflatable balloon having a proximal tail and a distal tail. The proximal tail is mounted at the distal end of the catheter shaft, the distal tail is mounted on the guidewire shaft. The balloon is in fluid communication with the inflation lumen. A distal stopper is sealingly affixed between the outer diameter of the guidewire shaft and the inner diameter of the distal tail. A proximal stopper is sealingly affixed between the outer diameter of the catheter shaft and the inner diameter of the proximal tail. The distal and proximal stopper are annular in shape and are in length shorter than the balloon tail and are of uniform circumferential thickness.

Abstract: A method and device for injecting fluid into a treatment area of a vessel wall is provided herein. A first version of the device includes an inflatable balloon mounted on a catheter and a plurality of injectors extending outwardly and moving with the balloon. At least one fluid passageway connects each injector in fluid communication with a fluid source. During use of the device, the balloon is first positioned in a vessel proximate the treatment area. Next, the balloon is inflated to embed the injectors into the vessel wall. Subsequently, the fluid from the fluid source is introduced into the fluid passageway and through the injectors into the treatment area. A second version of the device includes a plurality of flexible tubes mounted between a multi-lumen catheter and a grommet. A push-pull wire is connected to the grommet and passed through a lumen of the multi-lumen catheter. The injectors are mounted on each of the flexible tubes. During use, the device is first positioned in a vessel.

Abstract: A polymeric heat shrinkable tubular sheath for mounting about a balloon on a dilatation catheter by heat treating at a temperature which does not detrimentally effect the properties of the balloon to shrink the sheath onto the balloon. The tubular sheath is preferably heated to a temperature above body temperature, e.g. 40.degree.<100.degree. C., preferably less than 85.degree. C., to heat shrink the sheath onto the balloon. A presently preferred polymeric material is a copolymer of ethylene(75%) and methyl acrylate (25%). The heat shrinkable sheath has an inner lumen with minimum dimensions large enough to facilitate the advancement of the sheath over the exterior of a dilatation balloon without the need for a great deal of manual manipulation by the physician or other operator prior to heat shrinking.

Abstract: A catheter capable of irradiating blood vessel walls to inhibit restenosis after angioplasty. Catheters are capable of simultaneous irradiation, angioplasty, and in some devices, drug infusion. Preferred catheters include a helical perfusion balloon having strand windings spaced apart when inflated and defining a perfusion lumen within. A tubular sheath over the helical strands and distal shaft region is used in some embodiments and defines an outer wall for the perfusion lumen. A spiral, inter-strand space is defined between the sheath outer wall and the blood vessel inner wall, providing a confined volume for controlled delivery of drugs to the vessel wall in conjunction with irradiation. A device having a radiation wire, distally closed-end tube is provided. A device having a radiation wire open ended tube terminating proximally of the perfusion lumen is also provided.

Abstract: An expandable anchor mechanism for tentatively fixing a flexible tubular section of a bioptic or surgical treating instrument inserted in a biopsy channel of an endoscopic insertion rod. During a bioptic or surgical treatment, a fore end portion of the treating instrument is fixedly gripped by the anchor mechanism to stabilize a movable operating member of the instrument which is protruded into a body cavity from the distal end of the biopsy channel. The anchor mechanism includes an anchor control means for remote-controlling an anchor member to and from an expanded state projecting into the biopsy channel to grip a treating instrument and a flatly contracted state permitting movements of the treating instrument in the biopsy channel.

Abstract: Methods and devices for harvesting veins from the body. The methods and devices allow vein harvesting using laparoscopic procedures. A working space is created over the vein using standard laparoscopic procedures and a side-hooked wire is inserted into the working space and twisted to insert the side-hook under the vein. The wire is then pulled or drawn along the vein to separate the vein from the surrounding tissue. In an alternative embodiment, vein separation is accomplished by threading a soft rubber tube under the vein, grasping the ends of the tube so as to surround the vein, and then pulling the tube along the vein. In other embodiments, the working space is created with everting balloons.

Abstract: A lifting apparatus for deployment through a laparoscopic incision in a body wall to apply an external lifting force over a large area of the body wall. The apparatus provides a broad lifting surface that is capable of applying a lifting force of at least 40 pounds (180 Newtons) to an area of a body wall sufficiently extensive to reduce the lifting pressure exerted on the body wall to well below that which could cause pressure trauma to the body wall, yet delivers this broad lifting surface through the body wall via an incision about 14 mm long. The apparatus comprises a body wall engaging element capable of passing in a packaged state through the laparoscopic incision, and being inflatable to an inflated state. In the inflated state, the body wall engaging element is substantially toroidal, provides a broad lifting face, and bounds a central hole. The body wall engaging element includes an equatorial portion facing into the central hole.

Abstract: The present invention includes an improved configuration and method of forming an inflatable silicone balloon on a cured silicone catheter that does not require a release agent to free the balloon from the catheter. The method includes a catheter having an inflation lumen therein and an inflation port on the distal end thereof communicating the inflation lumen with the outer surface of the catheter within the interior of the balloon, comprising the following steps:Providing a substantially cured silicone compound sleeve having an inner diameter corresponding to the outer diameter of the catheter and having a length corresponding to the desired length of the inflatable balloon. Positioning the sleeve onto the distal end of the catheter and centered on the inflation port. Overdipping the distal end of the catheter and the sleeve into an uncured silicone dispersion compound to a depth of about 0.25 inches beyond the sleeve, forming an uncured silicone compound layer over the catheter and the sleeve.

Abstract: Disclosed is a medical catheter comprising a guidewire shaft defining a guidewire lumen. A distal tip extension defines a distal tip extension lumen having at a proximal end thereof a distal end of the guidewire shaft sealingly affixed therein. The inflatable balloon has a body portion, a tail portion and a cone shaped portion. The cone-shaped portion extends between the distal end of the body portion and the proximal end of the tail portion. The balloon tail portion is sealingly affixed to the distal tip extension such that the proximal end of the distal tip extension extends proximally from the proximal end of the balloon tail portion, the distal end of the distal tip extension extends distally from the distal end of the balloon tail and the distal end of the guidewire shaft is in alignment with the proximal end of the balloon tail portion.

Abstract: A stent delivery system for a balloon expandable stent includes a balloon catheter with a tubular shaft and an elongated dilatation balloon. The tubular shaft has a guidewire lumen with an entry for the guidewire distal of the balloon and an exit for the guidewire proximal of the balloon. A sleeve for preventing expansion of balloon segments is mounted on the tubular shaft with a distal end surrounding a portion of the proximal end of the balloon and a proximal end removably attached to a portion of the tubular shaft.

Abstract: Methods and devices for harvesting veins from the body. The methods and devices allow vein harvesting using laparoscopic procedures. A working space is created over the vein using standard laparoscopic procedures and a side-hooked wire is inserted into the working space and twisted to insert the side-hook under the vein. The wire is then pulled or drawn along the vein to separate the vein from the surrounding tissue. In an alternative embodiment, vein separation is accomplished by threading a soft rubber tube under the vein, grasping the ends of the tube so as to surround the vein, and then pulling the tube along the vein. In other embodiments, the working space is created with everting balloons.

Abstract: A medical catheter is provided which includes a core wire extending longitudinally through inflation tubing. The inflation tubing defines an inflation lumen. The distal end of the inflation tubing extends longitudinally through a tubular first reinforcement band which terminates distal to the distal end of the inflation tubing. An inner lumen tube defines a guidewire lumen, the inner lumen tube being biaxial with the inflation tubing and running longitudinally along the outer diameter of the inflation tubing. The inner lumen tube extends longitudinally through a shim tube which has a longitudinal slit running along its top side. The inner lumen tubing which has the shim coaxially bonded thereon extends longitudinally through a shaft tube. The inflation tube with the first reinforcement band coaxially bonded thereon also extends longitudinally through the shaft tube. The shaft tube is bonded to the inner lumen tube and to the inflation tube. A metal piece may be bonded to the inflation tube.

Abstract: A balloon catheter used for intra-aortic balloon pumping (IABP). In the balloon catheter, an outer diameter of a catheter tube is not made constant in the axial direction. Rather, the outer diameter of the catheter tube from a hemostatic valve to a bifurcation, the portion which is positioned outside the patient's blood vessel, is made 3 to 30 percent larger than the outer diameter of the catheter tube from the balloon portion to the hemostatic valve, which is positioned inside the patient's blood vessel. The bifurcation has a first passage and a second passage. The first passage is communicating with a shuttle gas port and is disposed straight along the direction of the axial center of the catheter tube.

Abstract: A variable length balloon catheter having an inner tubular member extending over the length thereof with a guide wire lumen therethrough. The distal waist of a balloon is affixed proximate the distal end of the inner tubular member while the proximal end or proximal waist of the balloon extends into and is slidably received within an outer tubular member. Means for sealing or preventing fluid flow between the proximal waist and inside diameter of the outer tubular member are provided. The means for sealing can include a passive or close tolerance seal assembly, an active seal assembly, or an axially elongatable membrane seal assembly. Axial movement of the inner tubular member varies the length of balloon extending distally beyond the distal end of the outer tubular member, thus determining inflated balloon length.

Abstract: In the catheter comprising: a balloon 11 provided with a front and a rear opening end and a thin wall made of synthetic resins; an outer tube 21; an inner tube 31 which is disposed inside the outer tube 21 and has its tip portion projected outward from the outer tube 21; and, the balloon 11 having the front and the rear opening end fixedly mounted in a water-tight manner on the inner tube 31 and the outer tube 21 to form a front fixed portion 61 and a rear fixed portion 61', respectively;a plurality of parallel-extending circumferential grooves 41 are provided to a distal area 32 of the inner tube 31, each of the circumferential grooves 41 having a predetermined length, and said distal area having a certain length which extends from said front fixed portion and over said rear fixed portion in a direction of the hub portion.

Abstract: The present invention is accomplished by providing a dilatation balloon catheter with a flexible tip comprising a catheter body having proximal and distal ends with an outer shaft defining an inflation lumen. The catheter body has a coaxial inner guidewire shaft defining a guidewire lumen. An inflatable balloon is mounted at the distal end of the catheter body, the balloon has an outer diameter, an inner diameter, a distal end and a proximal end. The proximal end of the balloon is in fluid communication with the distal end of the inflation lumen and the distal end of the balloon is sealingly mounted to the guidewire shaft. The guidewire shaft extends distal to the distal end of the balloon, the guidewire shaft has an outer diameter and a step down area. The guidewire shaft Step down area begins just proximal to the distal end of the balloon. The guidewire shaft step down area has an outer diameter which is less than the outer diameter of the guidewire shaft.

Abstract: Thrombosis in a blood vessel is prevented in a patient's body by the steps of positioning an electrically conductive member in an expanded portion of the blood vessel, at a site where the body is exposed to blood platelets, and disposing an electronegative potential generator in or adjacent to the patient's body and connected to the conductive member for maintaining a negative bias on the conductive member. One form of generating the negative bias is by passing microwaves through the patient's body to contact an embedded diode which generates the negative potential. The current density is maintained at about 50 milliamps per square centimeter.

Abstract: A balloon dissection apparatus for forming an anatomic working space alongside an elongate vessel in a body having a tunneling shaft having proximal and distal extremities. A flexible elongate substantially cylindrical balloon is carried by the tunneling shaft and has proximal and distal extremities. The balloon has at least a portion of the distal extremity folded inwardly into the balloon to shorten the length of the balloon so that the folded balloon has a length which is not substantially greater than the length of the tunneling shaft. An inflation tube is coupled to the balloon for inflating the balloon to cause the distal folded extremity to evert and roll outwardly to provide an inflated balloon having a length greater than the length of the tunneling shaft.

Abstract: The present invention relates to angioplasty catheters and more particularly, to a proximal balloon bond on an extended shaft comprising an irradiated biocompatable thermoplastic jacket having a necked down distal end with the proximal end of a balloon heat bonded to the distal end of the jacket. In an alternative embodiment the catheter has an irradiated biocompatable thermoplastic jacket having a necked down distal end with the proximal end of a balloon heat bonded to the distal end of the jacket and a core wire extending throughout the jacket and throughout the balloon. In yet another alternative embodiment, the catheter has an irradiated biocompatable thermoplastic jacket having a necked down distal end with the proximal end of a balloon heat bonded to the distal end of the jacket as well as a sleeve defining a guidewire lumen, the sleeve extending longitudinally and exterior to the jacket and balloon.

Abstract: A substitute catheter tip (10) is disclosed, for attachment to a catheter shaft (30) to form a urethral catheter. The substitute tip is curved and has a rolled over collar (16) at one end which has a layer of adhesive (26) applied thereto. The rolled over collar can be unrolled to fit over a catheter shaft and adhesively bond to the catheter shaft forming a catheter.

Abstract: An integrate-forming silicone balloon catheter suitable for use as a urethral catheter, endotracheal tube, gastrostomy tube, nephrostomy catheter, hematuria catheter, etc. The catheter including a shaft, which defines a drainage lumen and has a longitudinal groove on the outside, a conical tip connected to one end of the shaft, a sheath mounted around the shaft and bonded with the shaft together and disposed in flush with the conical tip, the sheath having a inflatable section without enlarged step and not bonded to the shaft for inflating a balloon, the balloon defining with the shaft a space communicated with the longitudinal groove into which space a solution can be filled to inflate the balloon.

Abstract: A low profile balloon-on-a-wire catheter having a flexible elongate tubular member with proximal and distal extremities and with a lumen extending from the proximal extremity to the distal extremity. An inflatable balloon is mounted on the distal extremity of the flexible elongate tubular member. Communication is established between the lumen and the interior of the inflatable balloon. An inflation fitting is removably secured to the proximal extremity of the flexible elongate tubular member for supplying an inflation fluid to the lumen for inflating and deflating the balloon. The inflation fitting when removed provides a proximal extremity on the catheter which is free of obstructions so that another balloon catheter can be advanced over the proximal extremity of the flexible elongate tubular member.

Abstract: A variable length balloon catheter having an inner tubular member extending over the length thereof with a guide wire lumen therethrough. The distal waist of a balloon is affixed proximate the distal end of the inner tubular member while the proximal end or proximal waist of the balloon extends into and is slidably received within an outer tubular member. Means for sealing or preventing fluid flow between the proximal waist and inside diameter of the outer tubular member are provided. The means for sealing can include a passive or close tolerance seal assembly, an active seal assembly, or an axially elongatable membrane seal assembly. Axial movement of the inner tubular member varies the length of balloon extending distally beyond the distal end of the outer tubular member, thus determining inflated balloon length.

Abstract: An inflatable balloon (14) for a catheter (10) includes a coating (15) which causes the balloon to prefer a predetermined, low profile configuration, such as a trifold configuration (40), when deflated. The balloon has a wall (13) which has an exterior polymeric coating (15). The coating (15) is set while the balloon is in the predetermined low-profile deflated configuration so that after inflation, the coating acts to urge the balloon to return to the low profile configuration as the balloon is deflated.

Abstract: An inflatable balloon (14) for a catheter (10) includes a coating (15) which causes the balloon to prefer a predetermined, low profile configuration, such as a trifold configuration (40), when deflated. The balloon has a wall (13) which has an exterior polymeric coating (15). The coating (15) is set while the balloon is in the predetermined low-profile deflated configuration so that after inflation, the coating acts to urge the balloon to return to the low profile configuration as the balloon is deflated.