Abstract: A biliary stent has a number of smooth-surfaced wings extending radially outwardly from a central region and extending longitudinally along substantially the entire length of the stent. A securement barb is located at one end of the stent and extends generally radially outwardly toward a side of the stent in cantilevered fashion at an angle less than or equal to 90°. The securement barb is angled such that it presents an outward-facing half-arrowhead profile. At least one end of the stent is smoothly or conically tapered. In one embodiment, the wings extend linearly along the stent; in another embodiment, the wings extend helically along the stent. Either embodiment may have a pigtail configuration at one or both ends.

Abstract: Methods and apparatus for accessing the peritoneal cavity and for ligation of fallopian tubes. A representative method includes using an endoscope to orally access a gastric wall. The gastric wall is punctured to provide access to a peritoneal cavity. The endoscope is advanced into the peritoneal cavity through the puncture. A fallopian tube is located and ligated. The endoscope is removed.

Abstract: An adjustable size balloon at the distal end of a feeding tube is used to aid in positioning, along with an endoscope, the tube in the jejunum or small bowel of a patient, without creating an obstruction in the intestines. The balloon is fully inflated when the endoscope that is used to place the tube in the duodenum is withdrawn, and then partially deflated to a size that allows peristaltic action on the balloon to move the tube into the jejunum, after which the balloon is further deflated to avoid creating an obstruction in the intestine.

Abstract: There is provided an endoscopic inserting system. The system includes an endoscope which is inserted into a lumen inside a body through a natural opening of a human body, an opening member which forms an opening for inserting the endoscope into a thoracic cavity or an abdominal cavity from the lumen inside the body at a wall portion of the lumen, and a retracting member which, when forming the opening, retracts the wall portion of the lumen.

Abstract: A biliary stent has a number of smooth-surfaced wings extending radially outwardly from a central region and extending longitudinally along substantially the entire length of the stent. A securement barb is located at one end of the stent and extends generally radially outwardly toward a side of the stent in cantilevered fashion at an angle less than or equal to 90°. The securement barb is angled such that it presents an outward-facing half-arrowhead profile. At least one end of the stent is smoothly or conically tapered. In one embodiment, the wings extend linearly along the stent; in another embodiment, the wings extend helically along the stent. Either embodiment may have a pigtail configuration at one or both ends.

Abstract: A novel approach to diagnostic and therapeutic interventions in the peritoneal cavity is described. More specifically, a technique for accessing the peritoneal cavity via the wall of the digestive tract is provided so that examination of and/or a surgical procedure in the peritoneal cavity can be conducted via the wall of the digestive tract with the use of a flexible endoscope. As presently proposed, the technique is particularly adapted to transgastric peritoneoscopy. However, access in addition or in the alternative through the intestinal wall is contemplated and described as well. Transgastric and/or transintestinal peritoneoscopy will have an excellent cosmetic result as there are no incisions in the abdominal wall and no potential for visible post-surgical scars or hernias.

Abstract: A novel approach to diagnostic and therapeutic interventions in the peritoneal cavity is described. More specifically, a technique for accessing the peritoneal cavity via the wall of the digestive tract is provided so that examination of and/or a surgical procedure in the peritoneal cavity can be conducted via the wall of the digestive tract with the use of a flexible endoscope. As presently proposed, the technique is particularly adapted to transgastric peritoneoscopy. However, access in addition or in the alternative through the intestinal wall is contemplated and described as well. Transgastric and/or transintestinal peritoneoscopy will have an excellent cosmetic result as there are no incisions in the abdominal wall and no potential for visible post-surgical scars or hernias.