Abstract: An improved construction for an expandable and contractible retention member, such as a balloon, for body access tubes, to retain a distal open end of the tube against an inner body cavity wall of the patient. The balloon is secured to only the inner and outer peripheral edges of the distal open end of the tube by a sleeve. The sleeve has both an outer wall and an inner wall which receives, respectively, the outer and inner walls of the tube. The balloon includes an outer wall and an inner wall which defines an inflation chamber. The inflation chamber extends beyond the distal open end of the tube so that no portion of the tube passes through the chamber. The balloon includes an axial opening to permit passage of fluid out of the tube.

Abstract: A stent assembly, delivery system and method of manufacture therefor. A stent assembly includes a compact stent. A dissolvable material impregnates the stent in liquid form. In its cured, solid form, the material contains the stent in its compact form. When the stent is positioned in a vessel, the temperature and liquids in the vessel dissolve the material thereby to release the stent for positioning in a final configuration. The expansion of the stent then allows removal of the delivery system.

Abstract: An improved enteral feeding tube (10) having a distal (12) and a proximal end (14). The tube (10) has a generally circular cross-section, and includes an attachment (22) or extension of the tube made of flexible polyurethane that is adhered to the distal end (12) of the enteral feeding tube (10). The attachment (22) comprises a generally rigid stem portion (24) extending from the distal end (12) of the enteral tube (10), and along an axis generally parallel to the axis of the feeding tube. The attachment (22) further comprises a spherical tip (28) at one end of the rigid stem portion (24).

Abstract: A unique device for long term percutaneous enteral feeding through a surgically formed stoma, such as a gastrostomy, includes a tubular member having a fluid lumen and an inflation lumen. One end of the tubular member is perpendicularly joined to a retention platform through which passes an ambient air port for the inflation lumen and an inlet for the fluid lumen. An other end of the tubular member is provided with an outlet for the fluid lumen. A one-way valve on the outlet prevents reflux of gastric contents into the fluid lumen. Disposed near the one end of the tubular member is an inflatable member, inflatable and deflatable through the inflation lumen. The inflatable member provides retention and anchoring of the device within the patient's stomach.

Abstract: An enteral feeding tube adapted for transpyloric passage and duodenal intubation of a distal end of the feeding tube in a patient capable of peristaltic contractions of the stomach wall. A flexible bolus is located at the distal end of the feeding tube, which has a feeding bolus and connected thereto by a linking means. The flexible bolus is of such length, diameter and deformability to initiate peristaltic movement of the stomach wall. The linking means is of outer dimensions smaller than the outer dimensions of the flexible bolus and the feeding tube, and is of a length, diameter and deformability selected to initiate and maintain peristaltic contractions in the stomach walls around and behind the flexible bolus. The continued peristaltic contractions act upon the flexible bolus and linking means, thereby drawing the feeding bolus and distal end of the feeding tube through the pylorus to achieve duodenal intubation.

Abstract: An improved enteral feeding tube (10) having a distal (12) and a proximal end (14). The tube (10) has a generally circular cross-section, and includes an attachment (22) made of flexible polyurethane that is adhered to the distal end (12) of the enteral feeding tube (10). The attachment (22) comprises a generally rigid stem portion (24) extending from the distal end (12) of the enteral tube (10), and along an axis generally parallel to the axis of the feeding tube. The attachment (22) further comprises a spherical tip (28) at one end of the rigid stem portion (24).

Abstract: A device for intubating an ostomy, formed by a percutaneous endoscopic technique including a multi-lumen tube, having at least a fluid delivery lumen and an inflation lumen. The tube includes a port near one end to dispose the inflation lumen to ambient air and an outlet at an other end to convey fluid from within the fluid lumen into a patient. An inflatable member, is joined near the other end of the tube and is inflatable and deflatable through the inflation lumen. In a deflated state, the member assumes an edge-free outer configuration to facilitate intubation of the device into the patient. In a fully inflated state, the member assumes an outer configuration defining an edged, generally flat surface to more diffusely contact and abut against inner tissue surfaces surrounding the gastrostomy. Joined to the one end of the tube is an elongated tapered sleeve which encloses the one end of the tube. The tapered end of the sleeve carries a suture loop for use in intubating the device.

Abstract: A one way valve means for incorporation into a fluid administration set for enteral therapy which arrests retrograde movement of fluid into the set to avoid flow rate interruption or, in the event of extreme fluid back pressure, rupturing of the tubing in the set. The one way valve means is responsive to fluid back pressure and is incorporated in a male connector disposed on a distal end of the administration set tubing. As a result retrograde fluid movement caused by either irrigation or patient originated, fluid back pressure is immediately arrested before fluid enters the administration set.

Abstract: An improved device for aspetic dispensing of enteral feeding solutions from shape retentive, pre-filled containers. The device including a distensible hanger member formed around only the end panels of the container to suspend the container in an orientation to define only a single uppermost corner and a single lowermost corner. The device further including corner attachment members for firmly securing a therapeutic fluid dispensing column only to the uppermost and lowermost corners of the container. The fluid dispensing column having venting and dispensing spikes. The spikes having an outer configuration which forms leak-proof seals with an aperture formed in the container. The spikes further including an arrangement of laterally opposed inlet ports joined to a large diameter axial bore.

Abstract: A unique device for intubating an ostomy, formed by a percutaneous endoscopic technique including a multi-lumen tube, having at least a fluid delivery lumen and an inflation lumen. The tube includes a port near one end to dispose the inflation lumen to ambient air and an outlet at an other end to convey fluid from within the fluid lumen into a patient. A retention member, preferably an inflatable cuff, is joined near the other end of the tube and is inflatable and deflatable through the inflation lumen. In a deflated state, the cuff assumes an edge-free outer configuration to facilitate intubation of the device into the patient. In a fully inflated state, the cuff assumes an outer configuration defining an edged, generally flat surface to more diffusely contact and abut against inner tissue surfaces surrounding the gastrostomy. Joined to the one end of the tube is an elongated tapered sleeve which encloses the one end of the tube.

Abstract: A device for dispensing enteral feeding solutions and other therapeutic fluids from penetrable, shape retentive containers comprising a unitary dispensing spike for penetrating a topside panel of such containers which are suspended in an orientation to define an uppermost end and a lowermost end. The dispensing spike of the present invention includes an ambient air vent integrally formed therein. The present invention further includes a fluid visualization chamber which permits a user to determine the volume of fluid within the container.

Abstract: The invention is a device for angular fixation of a delivery or drainage tube at, for example, the point where that tube exits through the skin from a body cavity. The tube may be used for delivery, extraction, or evacuation of fluids or gases through a surgically formed stoma in a patient. In the enteral feeding, or delivery, embodiment, an enteral feeding tube extends outwardly from the patient to support the components of the device. The components include a sleeve disposed along and movable along the feeding tube and a base elbow unit through which the feeding tube passes. The base elbow unit includes a subdermal portion, a sleeve engaging portion, and a generally cylindrical tube-engaging portion. The feeding tube is movable from a first, substantially straight position to a second, acutely angled position. In this second, acutely angled position, the tube is immobilized by locking engagement to the tube engaging portion.

Abstract: A unique device for intubating an ostomy, formed by a percutaneous endoscopic technique including a multi-lumen tube, having at least a fluid delivery lumen and an inflation lumen. The tube includes a port near one end to dispose the inflation lumen to ambient air and an outlet at an other end to convey fluid from within the fluid lumen into a patient. A retention member, preferably an inflatable cuff, is joined near the other end of the tube and is inflatable and deflatable through the inflation lumen. In a deflated state, the cuff assumes an edge-free outer configuration to facilitate intubation of the device into the patient. In a fully inflated state, the cuff assumes an outer configuration defining an edged, generally flat surface to more diffusely contact and abut against inner tissue surfaces surrounding the gastrostomy. Joined to the one end of the tube is an elongated tapered sleeve which encloses the one end of the tube.

Abstract: A balloon catheter for use in angioplasty and the like includes a shaft made of an elastomeric tube reinforced with longitudinally inelastic filaments. In the distal balloon portion of the unpressurized shaft, the filaments lie at an angle which is less than a predetermined critical angle. In the adjacent movable portion of the shaft, the filaments lie at an angle which is greater than the critical angle. When the shaft is pressurized, the balloon portion expands in diameter and the balloon portion contracts in diameter until the filaments in each portion lie at the critical angle. At the same time, the length of the movable portion increases so as to offset the reduction in length of the balloon portion.

Abstract: An improved, non-occluding high fluid flow enteral feeding tube including a non-collapsible bolus carried on a distal end of the tube. The bolus having at least one opening defining a tube outlet. The one opening being defined by generally vertical bolus side walls having a selected transverse sectional height ranging from a height equal to at least one-half the inner diameter of the tube to no more than a height equal to the sum of the tube inner diameter and the thickness of the tube wall. The bolus further including an upwardly inclining internal bolus floor to gradually direct fluid from the tube, through the bolus and out of the opening minimizing disturbance of fluid flow rate.

Abstract: An enteric feeding bag having unique fluid dispensation features comprising a supplying chamber within the bag being coupled to an inlet, a feeding chamber of smaller volume than the supplying chamber being coupled to an inlet, a feeding chamber of smaller volume than the supplying chamber being coupled to an outlet, a channel placing the chambers in selective fluid communication upon tilting of the bag, a partition between the chambers having at least one aperture to receive a clamp in which the aperture coincides with volumetric graduations on the feeding chamber, an elongated flap appended to the exterior peripheral edge of the feeding chamber also having at least one aperture horizontally coinciding with the aperture on the partition and, a clamp inserted through the apertures for transversely sealing together the side walls of the feeding chamber at one aperture.

Abstract: Apparatus for peeling sausages comprises means for feeding a chain of sausages in the longitudinal direction of the chain towards a pair of counterrotating rollers defining between them a roller nip located in the plane of symmetry between the rollers. The feeding means causes the leading end of each sausage in succession to meet the roller surfaces on either side of the plane of symmetry and at an obtuse angle to the longitudinal direction of the nip. Before each sausage meets the roller surfaces its casing has been slit by a knife, and due to their rotation the rollers grasp the slitted casing and pull it through the nip for removal separate from the skinned sausages which move along the rollers on the infeed side thereof until they are discharged at the end of the roller nip.

Abstract: A flexible fluid collection bag is described having an upper sampling compartment of predetermined volume and a lower collection compartment partially separated by a heat seal portion, yet remaining in fluid communication with each other. To obtain a fluid sample from the bag, the bag is inverted to fill the sampling compartment, then pivotably held at the connection of the compartments while the collection compartment is returned to its original position. The fluid remaining in the sample compartment then is discharged into a specimen collection container.