Abstract: A tracheo-oesophageal fistula catheter (1) comprises an elongate conduit (2) having a proximal and a distal end, the conduit (2) comprising a plurality of lumens commencing adjacent to the proximal end; means (8, 9) for substantially sealing a tracheo-oesophageal fistula, the means being attached to the conduit (2) adjacent to the proximal end and comprising two elements (8, 9) to be placed on either side of the fistula; and at least one expandable balloon (7) attached to the conduit (2) adjacent to the distal end, and in fluid connection with at least one of said lumens; wherein at least one lumen is a gastric lumen, the gastric lumen extending along the full length of the conduit and having an outlet (6) at the distal end of the conduit (2), and wherein at least one element of the means for sealing the fistula comprises an expandable balloon in fluid connection with at least one of said lumens.

Abstract: A balloon catheter assembly included a catheter provided with a distal end and a proximal end and at least one inflation lumen in the catheter. The inflation lumen includes a distal end and a proximal end. An inflatable balloon is provided at the distal end of the catheter and in fluid communication with the distal end of said inflation lumen. The proximal end of the inflation lumen is able to be coupled to a source of fluid. A flow controller is coupled between the inflation lumen and the fluid source, the flow controller being adjustable by an operator of the balloon catheter assembly so as to adjust the flow of inflation fluid to the balloon. In one embodiment, the flow controller includes a manually operable control actuator and a plurality of discrete flow configurations provided in the form of flow through holes in the flow controller.

Abstract: A duel lumen catheter is provided for use in minimally invasive surgery. The catheter generally includes a first tube defining an operative lumen and a second tube terminating proximally of the first tube and defining an inflation lumen. In one embodiment, the first and second tubes are concentric. In an alternative embodiment, the first and second tubes are separate and extend parallel to each other. The first and second tubes are provided with inflation ports adjacent their respective distal ends. There is also provided a method for performing minimally invasive surgery by inserting the catheter through the esophagus of a patient, insufflating the stomach and performing a surgical operation through the catheter and external to the stomach.

Abstract: The balloon catheter according to the present invention is one is provided with a catheter shaft having flexibility with a lumen formed inside; a balloon that is disposed at the distal end side of the catheter shaft and in communication with the lumen; a fluid regulating portion that passes a fluid that is supplied from a fluid supply source to the balloon and, simultaneous with the supply from the fluid supply source being stopped, prevents backflow of the fluid that is supplied to the balloon to the fluid supply source side; and a fluid releasing portion that releases the fluid that is supplied to the balloon to outside of the balloon.

Abstract: A specially configured esophageal-gastric tube can be inserted into a patient's esophagus with the tip of the tube in the region of an end-to-end anaotomosis connection. The joined members are occluded upstream and downstream of the anastomosis connection. Fluid is pumped into the occluded section through the esophageal-gastric tube until a desired pressure level is attained. The anastomosis connection then is checked for leaks. The invention also includes a bougie having an end portion made of a material suitable for resisting electro-cauterization temperatures.

Abstract: A releasably locking dilator and sheath assembly (10) and methods for releasing the dilator (12) from the sheath (14) and longitudinally splitting the sheath. The assembly includes a dilator having a dilator hub (20) and a sheath having a sheath hub (40). The sheath hub may have a valve and has two opposing winged tabs (42), each tab having a perpendicular portion (44) and an angled portion (46) as well as a female threaded portion (53). The dilator hub (20) has a male threaded portion (30) designed to engage the female threaded portion of the sheath hub. The dilator is released from the sheath by rotating the dilator 90° in relation to the sheath and pulling the dilator out of the sheath. The sheath is longitudinally split by creating a couple on each of the winged tabs (42) thereby forcing the sheath and the sheath hub to split longitudinally. With the sheath and sheath hub split longitudinally, the sheath is removed from around a catheter while leaving the catheter in place.

Abstract: A medical device and methods for filling tissue are disclosed. The device has a first configuration for delivery into tissue to be filled and a second configuration in which the device either expands, or is forced to expand within the tissue to be filled. The exterior profile of the expanded device may be customized along its length, to achieve a desired result. The device is adapted to be placed in the skin, and may be used to reduce facial wrinkles or augment facial features such as the lips.

Abstract: The volume of a hyperinflated lung compartment is reduced by sealing a distal end of the catheter in an airway feeding the lung compartment. Air passes out of the lung compartment through a passage in the catheter while the patient exhales. A one-way flow element associated with the catheter prevents air from re-entering the lung compartment as the patient inhales. Over time, the pressure of regions surrounding the lung compartment cause it to collapse as the volume of air diminishes. Residual volume reduction effectively results in functional lung volume expansion. Optionally, the lung compartment may be sealed in order to permanently prevent air from re-entering the lung compartment.

Abstract: Apparatus is described for use with a portion of a subject's body that moves as a result of cyclic activity of a body system. An imaging device acquires a plurality of image frames of the portion. A sensor senses a phase of the cyclic activity. A medical tool performs a function with respect to the portion. A control unit generates a stabilized set of image frames of the medical tool disposed within the portion, actuates the tool to perform the function or move, in response to the sensor sensing that the cyclic activity is at a given phase thereof, and inhibits the tool from performing the action or moving in response to the sensor sensing that the cyclic activity is not at the given phase. A display facilitates use of the tool by displaying the stabilized set of image frames. Other embodiments are also described.

Abstract: The balloon catheter according to the present invention is one is provided with a catheter shaft having flexibility with a lumen formed inside; a balloon that is disposed at the distal end side of the catheter shaft and in communication with the lumen; a fluid regulating portion that passes a fluid that is supplied from a fluid supply source to the balloon and, simultaneous with the supply from the fluid supply source being stopped, prevents backflow of the fluid that is supplied to the balloon to the fluid supply source side; and a fluid releasing portion that releases the fluid that is supplied to the balloon to outside of the balloon.

Abstract: A valved catheter that allows placement and withdrawal of an accessing device or attachable unit without the risk of air embolism or blood loss. The valved catheter includes a catheter tube having a necked portion in its proximal end that forms an integral valve, the necked portion being surrounded by a compression sleeve that biases the valve in a closed position.

Abstract: A combination of polymeric components provides desired characteristics in forming medical instruments such as catheters and balloons for dilatation catheters. For example, a balloon material is formed from a blend of polymeric components, including a first crystalline polymeric component and a second softening polymeric component. Where the first two components are generally incompatible, the balloon material can also include a third compatibilizing agent to facilitate blending the first two polymeric components together.

Abstract: A rotary valve for a balloon catheter, including a hollow guidewire with a central lumen and a portion of a rotary shaft disposed within a guidewire proximal end. Rotating the rotary shaft of the rotary valve controls flow of an inflation fluid into and through the guidewire central lumen.

Abstract: A catheter useful for non-surgical entry into a uterus to dispense a diagnostic fluid therein. The catheter includes a tubular body having a lumen extending from a first end thereof to a second end thereof. The lumen includes an external opening adjacent the first end for dispensing a diagnostic fluid into the interior of a subject uterus, and a balloon disposed marginally adjacent to the first end of the body for fluid sealing the interior of the subject uterus. The lumen further includes a second opening in fluid communication with the interior of the balloon for inflation thereof with the diagnostic fluid. In most applications, the catheter can be combined with a syringe to form a catheter apparatus.

Abstract: An autoinflating catheter and balloon assembly having an autoregulating structure to prevent overinflation of the balloon as a result of variable fluid flow rates through the catheter lumen. A tight-fitting elastomeric balloon is provided on the distal end of the catheter body, and the assembly is constructed so that at least a portion of the fluid flow through the lumen is directed to the balloon to inflate it. As the balloon is inflated, more and more of the fluid flow through the catheter is discharged from the catheter, thereby preventing overinflation of the balloon.

Abstract: A catheter for the administration of fluid or pharmaceutical agents, or for hemodialysis comprising a proximal control end comprising a housing with a proximal end and a distal end, a distal delivery end, an elongated intermediate portion between the proximal control end and a distal delivery end, one or more than one delivery lumen within the intermediate portion extending from the proximal control end to the distal delivery end; one or more than one inflation balloon in each delivery lumen, and one or more than one inflation lumen in the intermediate portion extending from the proximal control end to the one or more than one inflation balloon in the one or more than one delivery lumen, and connected to the one or more than one inflation balloon through one or more than one fenestration, where the proximal control end further comprises a mechanism for aspiration and injection of fluids through the distal delivery end, and where the proximal control end further comprises a mechanism for controlling inflation

Abstract: The invention provides a catheter for insertion into a biological passage which contains a first flowing fluid, the catheter including a tubular member having a proximal end and a distal end; a fluid delivery lumen contained within the tubular member; an inflatable balloon assembly disposed at the distal end of the tubular member, the balloon assembly including an inflatable balloon member having an uninflated state and an inflated state, the balloon assembly including apertures in communication with the fluid delivery lumen; an inflation lumen in communication with the balloon member; and a valve contained within the inflatable balloon assembly.

Abstract: A system and method for measuring ventricular function in an isolated, perfused heart using an intraventricular balloon connected to a plumbing circuit containing a fluid, the plumbing circuit including (a) a valve for selectively opening the plumbing circuit to (i) atmospheric pressure or (ii) a pressure control circuit of a pressure control apparatus or (b) a pressure control apparatus which can be selectively connected to the plumbing circuit, including the steps of establishing a base pressure by (1) opening the valve to atmospheric pressure or the pressure control circuit or (2) operating the pressure control apparatus, after equalization of the pressure within the intraventricular balloon with the base pressure, closing the valve or stopping operation of the pressure control apparatus, following the closing of the valve, measuring ventricular function as a function of a titrated infusion of fluid into the plumbing circuit and intraventricular balloon, performing an intervention, and repeating at least t

Abstract: A cannula assembly (120) provides access to an interior body region (22). The cannula assembly defines a lumen (24) having a distal region (30). The lumen includes a bend in the distal region to guide deployment in the body region. A closure assembly (44, 46, 48) can be provided to open, and close the cannula assembly to fluid flow.

Abstract: A medical device system and method allows an arterial bypass graft to be proximally anastomosed to an aorta during a beating heart procedure without substantial loss of blood by use of an endolumenal aorta isolation assembly provided along the distal end portion of an elongate catheter body. The aorta isolation assembly includes proximal and distal portions that are separated by an isolation region and that are adjustable to first and second extended positions, respectively, which are adapted to circumferentially engage the aortic wall and isolate upstream and downstream aspects of an exterior space between the elongate body and the aortic wall. The intermediate region is adapted to be positioned along the proximal anastomosis site such that the distal and proximal portions when adjusted to the first and second extended positions circumferentially engage the aortic wall on upstream and downstream sides of the proximal anastomosis site.

Abstract: A balloon catheter of the present invention has an outer tube having a first lumen inside it. At the distal end of the outer tube is connected the proximal end of the balloon portion so that a balloon space is formed inside it, the distal end of the balloon portion is joined to a cylindrical front tip portion, and pressurized fluid is introduced into and released from the balloon space through the first lumen of the outer tube so as to make the balloon portion expand or contract. Inside the first lumen of the outer tube is arranged an inner tube having a second lumen freely slidable in the axial direction. The distal end of the inner tube projects out from the distal end of the outer tube and is detachably attached to the front tip portion. The balloon catheter of the present invention may have a guidewire detachably attached to the front tip portion rather than providing the inner tube.

Abstract: Cardioplegia is delivered to a heart vessel by conducting the cardioplegia through an infusion lumen of a cannula. The cardioplegia communicates with a balloon disposed on a distal end of the cannula to cause the cardioplegia to inflate the balloon into sealing contact with a wall of the coronary sinus. The flow of cardioplegia is halted while preventing drainage of cardioplegia from the balloon, to maintain the balloon in its inflated state until such time as the flow of cardioplegia is resumed. Drainage of cardioplegia from the balloon is prevented by causing a valve to be shifted to a closed position blocking communication between the infusion lumen and the balloon. The valve can be shifted manually, or automatically in response to the halting of the delivery of cardioplegia.

Abstract: A system for performing fluid jet myocardial revascularization includes a catheter having a proximal region, a distal region, a lumen extending therethrough and a valve disposed in the lumen for allowing the passage of fluids in the lumen to create holes in the myocardium. A valve control means extends through the proximal region of the catheter to open and close the valve. In one embodiment, the valve also includes a biasing mechanism for biasing the valve in a closed position. The valve may be controlled using an electrically actuated device that is heated with an electrical current to open and close the valve. In one embodiment of the invention, the catheter has a wall that can be expanded within a guide catheter to anchor the catheter during revascularization.

Abstract: An intra-aortic balloon catheter having a collapsible variable diameter inner tube.

Abstract: A balloon catheter having a first balloon member and a second distal expandable member. The increased distal profile of the catheter with inflation of the second distal expandable member can deflect the distal-most end away from stent walls and edges. Another catheter has a distal region including longitudinal slits and a pre-stressed body configured to expand upon exposure to warm body fluids. Another catheter has a distal region including a first, inner tube disposed about a second, innermost tube. The inner and innermost tubes are secured at the distal-most end. The distal region includes longitudinal slits through the inner tube, thereby defining flaps between the slits. The innermost tube can be retracted relative to the inner tube disposed about the innermost tube, thereby causing the longitudinal flaps to expand outward, thereby increasing the maximum radial extent of the distal region. In yet another embodiment, a balloon catheter having a first guide wire tube is provided.

Abstract: The present invention provides an inflatable device 1 for insertion in a substantially deflated state, into a blood or other biological fluid carrying vessel 4 for controlling extra-vascular hemorrhage from a damaged portion 6 of the vessel 4 when the device 1 is in an inflated state. The device 1 defines in its inflated state an elongate open-ended tube having a passage 8 extending therethrough, through which blood or another biological fluid flows while allowing repair of the damaged portion 6 of the vessel 4.

Abstract: An autoinflating catheter and balloon assembly having an autoregulating structure to prevent overinflation of the balloon as a result of variable fluid flow rates through the catheter lumen. A tight-fitting elastomeric balloon is provided on the distal end of the catheter body, and the assembly is constructed so that at least a portion of the fluid flow through the lumen is directed to the balloon to inflate it. As the balloon is inflated, more and more of the fluid flow through the catheter is discharged from the catheter, thereby preventing overinflation of the balloon.

Abstract: This invention is a surgical device. In particular, it is a low profile, single lumen catheter preferably having a movable seal or seat that allows the balloon to be inflated by sealing against the movable guidewire or against itself. An additional variation of the invention includes a non-removable guidewire situated in the catheter body in such a way to provide or add stiffness to the otherwise flexible distal section of the catheter during a procedure. An enhanced strain relief transition joint between significantly stiffer proximal section and the more flexible distal section is provided. Finally, methods of using the inventive balloon catheter are also shown.

Abstract: Disclosed herein is a low profile catheter valve comprising a movable sealer portion positioned within the inflation lumen of a catheter. The sealer portion forms a fluid tight seal with the inflation lumen by firmly contacting the entire circumference of a section of the inflation lumen. The sealer portion may be positioned proximally of a side-access inflation port on the catheter, to establish an unrestricted fluid pathway between the inflation port and an inflatable balloon on the distal end of the catheter. As desired, the clinician may move the sealer portion to a position distal of the inflation port, thereby preventing any fluid from being introduced into or withdrawn from the balloon via the inflation port. Also disclosed herein is an inflation adaptor for moving the sealer portion within the catheter to establish or close the fluid pathway between the inflation port and the inflatable balloon.

Abstract: An apparatus for regulating flow of an inflation fluid to a stent delivery balloon. A valve, which is situated in the flow path of the inflation lumen, regulates the flow of liquid used to inflate and deflate the balloon. The valve performs to restrict flow and to respond to pressure applied to assure a desired inflation rate when fluid is flowing toward the delivery balloon. On deflation, when fluid is flowing away from the delivery balloon, the valve is designed to offer little or no resistance, allowing the balloon to be deflated quickly.

Abstract: A method and device for the pharmacological cardioversion of fibrillation or atrial flutter is disclosed. The device is implantable in the human body and provides equipment for drug infusion using an electrocatheter positioned in the right atrium, the right ventricle, or the coronary sinus. The electrocatheter is provided with sensors which monitor the electromechanical activity of the heart and which intervene to activate the infusion in the presence of fibrillation or flutter. The catheter may be provided with at least one balloon which can be inflated and deflated to create a chamber which permits perfusion of the drug directly into the vein of Marshall.

Abstract: Disclosed herein is a low profile catheter valve comprising a movable sealer portion positioned within the inflation lumen of a catheter. The sealer portion forms a fluid tight seal with the inflation lumen by firmly contacting the entire circumference of a section of the inflation lumen. The sealer portion may be positioned proximally of a side-access inflation port on the catheter, to establish an unrestricted fluid pathway between the inflation port and an inflatable balloon on the distal end of the catheter. As desired, the clinician may move the sealer portion to a position distal of the inflation port, thereby preventing any fluid from being introduced into or withdrawn from the balloon via the inflation port. Also disclosed herein is an inflation adaptor for moving the sealer portion within the catheter to establish or close the fluid pathway between the inflation port and the inflatable balloon.

Abstract: A medical device system and method allows an arterial bypass graft to be proximally anastomosed to an aorta during a beating heart CABG procedure without substantial loss of blood by use of an endolumenal aorta isolation assembly provided along the distal end portion of an elongate catheter body. The aorta isolation assembly includes proximal and distal portions that are separated by an intermediate isolation region and that are adjustable to first and second extended positions, respectively, which are adapted to circumferentially engage the aortic wall and isolate upstream and downstream aspects of an exterior space between the elongate body and the aortic wall. Blood flowing within the aorta is thereby isolated from the proximal anastomosis site along the intermediate region and is shunted from an upstream region of the aorta, through the distal port into the flow lumen, proximally along the flow lumen, out from the flow lumen through the proximal port, and into a downstream region of the aorta.

Abstract: The invention relates to a catheter device and guidewire system to enable the catheter to be exchanged over a conventional length guidewire without the use of a guidewire extension or exchange wire. The catheter device includes an elongated inflation shaft having a longitudinal inflation lumen, an extension shaft having a longitudinal extension lumen coupled in fluid communication with the inflation lumen, a balloon member disposed at the distal end of the extension shaft and in fluid communication with the inflation lumen, a guidewire shaft having a longitudinal guidewire lumen which extends from the distal end of the balloon member, through the balloon member and extension shaft, to the proximal end of the extension shaft, and a variable length shaft coupled to the proximal end of the extension shaft.