Abstract: A disposable sheath device for use with an endoscope is disclosed. The endoscope has a body with an insertion tube having optics at its distal end. The disposable sheath device has a primary lumen and at least one secondary lumen attached to the primary lumen along a length of the lumen. The primary lumen is for covering and protecting the insertion tube from bodily contamination. The secondary lumen is for accommodating a desired tool. The secondary lumen has an insert substantially commensurate in length to the secondary lumen and the insert has a slit longitudinally along its length. The slit permits radial expansion to accommodate tools having a radius larger than that of the secondary lumen, which preferably is made of a flexible material that expands. A connector is attached to the proximal end of the primary lumen and connects to he body of the endoscope. The connector extends longitudinally to accommodate different length insertion tubes.

Abstract: A disposable sheath device for use with an endoscope is disclosed. The endoscope has a body with an insertion tube having optics at its distal end. The disposable sheath device has a primary lumen and at least one secondary lumen attached to the primary lumen along a length of the lumen. The primary lumen is for covering and protecting the insertion tube from bodily contamination. The secondary lumen is for accommodating a desired tool. The secondary lumen has an insert substantially commensurate in length to the secondary lumen and the insert has a slit longitudinally along its length. The slit permits radial expansion to accommodate tools having a radius larger than that of the secondary lumen, which preferably is made of a flexible material that expands. A connector is attached to the proximal end of the primary lumen and connects to he body of the endoscope. The connector extends longitudinally to accommodate different length insertion tubes.

Abstract: A disposable sheath device for use with an endoscope is disclosed. The endoscope has a body with an insertion tube having optics at its distal end. The disposable sheath device has a primary lumen and at least one secondary lumen attached to the primary lumen along a length of the lumen. The primary lumen is for covering and protecting the insertion tube from bodily contamination. The secondary lumen is for accommodating a desired tool. The secondary lumen has an insert substantially commensurate in length to the secondary lumen and has a slit longitudinally along its length. The slit permits radial expansion to accommodate tools having a radius larger than that of the secondary lumen, which preferably is made of a flexible material that expands. A connector is attached to the proximal end of the primary lumen and connects to the body of the endoscope. The connector extends longitudinally to accommodate different length insertion tubes.

Abstract: A disposable sheath device for use with an endoscope is disclosed. The endoscope has a body with an insertion tube having optics at its distal end. The disposable sheath device has a primary lumen and at least one secondary lumen attached to the primary lumen along a length of the lumen. The primary lumen is for covering and protecting the insertion tube from bodily contamination. The secondary lumen is for accommodating a desired tool. The secondary lumen has an insert substantially commensurate in length to the secondary lumen and has a slit longitudinally along its length. The slit permits radial expansion to accommodate tools having a radius larger than that of the secondary lumen, which preferably is made of a flexible material that expands. A connector is attached to the proximal end of the primary lumen and connects to he body of the endoscope. The connector extends longitudinally to accommodate different length insertion tubes.

Abstract: A balloon catheter with an inner elongated member having an inner layer of a soft elastomeric polyurethane material and an outer layer of a hard plastic nylon material, which is formed by forming the outer layer onto the inner layer by coextrusion.

Abstract: An intra-aortic balloon assembly which includes an hemostasis device slidably mounted to a balloon catheter, and method for percutaneous insertion of such assembly. The hemostasis device provides a distal constant diameter segment dimensioned to minimize initial resistance to the insertion of the hemostasis device, integrated with a second proximal segment of larger constant diameter via a transition segment. The second constant diameter segment is proportioned to fill the opening in the patient's skin created by the insertion of the intra-aortic balloon and thereby stop any bleeding from the femoral artery at the insertion site.

Abstract: A method for inserting an intra-aortic balloon device into a patient without using an insertion sheath is provided. Additionally, a hemostasis sheath is described for use with the insertion method. The hemostasis sheath may be incorporated onto the balloon catheter during manufacture before attachment of the intra-aortic balloon bladder. The hemostasis sheath is tapered from a smaller outside diameter at the point closest to the balloon bladder gradually increasing in diameter towards a large outside diameter at the end opposite the balloon bladder. The hemostasis sheath may also have an extended tip of constant outside diameter at its proximal end to facilitate insertion through the skin. If bleeding occurs after insertion of the intra-aortic balloon according to the invention, the hemostasis sheath is slid into the insertion site to stop the bleeding.

Abstract: A balloon catheter is disclosed which is flexible yet transmits positive torque when rotated in the direction for unwrapping the balloon. The balloon catheter comprises a hollow catheter having a proximate end and a distal end, an inflatable and deflatable balloon having a proximate end and a distal end, said proximate end of the balloon being sealably attached to the distal end of the catheter for admitting fluid (generally a gas) and withdrawing fluid from the balloon, and a flexible central lumen disposed within said hollow catheter and having a proximate end and a distal end, said distal end of said central lumen being sealably attached to the distal end of the balloon, said central lumen comprising a flexible core wrapped spirally with a spring-like material so that the wrapped core can transmit positive torque when rotated in one direction. Preferably, the flexible core is made of a polymeric or elastomeric tube so that access to the aorta can be obtained through it.

Abstract: An apparatus for use in monitoring fetal vital signs with monitoring equipment is disclosed. The apparatus includes a form sustaining guide tube, a sleeve, a fetal electrode structure having a piston member and a body member, at least two active fetal electrodes and a lead wire for connecting the active fetal electrodes to monitoring equipment. At least a portion of the guide tube and the body member are slideably disposed within the sleeve. The active fetal electrodes are attached to this piston member and their free ends are disposed within channels defined by the body member. The channels project arcuately outwardly by a predetermined radius of curvature so as to define a continuous outwardly advancing open passage through the body member. The body member also includes a shoulder to preclude movement of the body member within the sleeve by more than a predetermined distance. The apparatus is inserted through passages of a woman in labor brought into contact with the fetal scalp.

Abstract: Intra-aortic balloon apparatus is disclosed including a single chamber balloon sealably attached to the end of a catheter for non-surgical insertion into the aorta through the skin as by the standard Seldinger technique. In the preferred embodiment, the extreme end of the balloon is fixedly attached to one end of a separate substantially circumferentially rigid but longitudinally flexible tube open at both ends and disposed within and extending the length of the catheter. The opposite end of the tube remote from the balloon is fixedly attached to means for effecting rotation of the tube within the catheter and thereby result in controlled sequential wrapping and unwrapping of the balloon about the tube. In use, the balloon is pumped in conventional manner via the catheter and access through the tube is provided to the interior of the aorta at the extreme end of the balloon.

Abstract: A method for inserting an intra-aortic balloon device into a patient without using an insertion sheath is provided. Additionally, a hemostasis sheath is described for use with the insertion method. The hemostasis sheath may be incorporated onto the balloon catheter during manufacture before attachment of the intra-aortic balloon bladder. The hemostasis sheath is tapered from a smaller outside diameter at the point closest to the balloon bladder gradually increasing in diameter towards a large outside diameter at the end opposite the balloon bladder. The hemostasis sheath may also have an extended tip of constant outside diameter at its proximal end to facilitate insertion through the skin. If bleeding occurs after insertion of the intra-aortic balloon according to the invention, the hemostasis sheath is slid into the insertion site to stop the bleeding.