Abstract: A detachable dilator with an extraction device has a detachable dilator tip with a hole and an extraction device having a bead too large for passing through the hole and a string extending from the bead through the dilator tip. The string has a retrieval portion for coupling with a tool extending through an endoscope. For example, the retrieval portion may be a loop attached to the bead by the string. For example, the loop may be formed by knotting the string.

Abstract: A stent with a one-way sock valve comprises a stent portion and a one-way valve portion. The one-way valve portion comprises a heal portion. The heal portion prevents solids and liquids from entering an opening in the one-way valve portion. Solids and liquids enter the one-way sock valve in a first direction through the stent portion and exit an opening transversely to the longitudinal axis of the stent portion. The sock valve folds, closing the sock valve to any reverse flow in a second direction opposite of the first direction.

Abstract: A balloon catheter system includes a tube and a dilator detachable from the tube after the tube is inserted into a cavity in the patient. The cavity may be filled with gas or liquid to expand the viscera surrounding the cavity and the guidewire may be inserted using a trochar, for example. The tube includes one or more lumen to expandable balloons that are inflatable by fluid inserted through the lumen and into the balloon or balloons, which are formed by elastic film sealed on opposite ends to the external diameter of the tube. The dilator is held in place during insertion, such as by a stainless steel shaft and a sheath portion of the dilator extending over the end of the tube being inserted into the cavity. A portion of the sheath may extend over and protect the balloon. A retractor net may be used to capture and remove the dilator or the dilator may be designed as a bioabsorbable or digestible material or of a material that passes safely through the digestive tract of a patient.

Abstract: A dilator comprises a guide extending through a tube, and a slidable sleeve exterior to the tube, such that a slit in the tube extending from a first end of the tube to a second end of the tube, opposite of the first end, is closed by a force applied via the slidable sleeve. When closed, the slit does not interfere with the tube being used as a dilator to dilate tissues of a patient through which the guide extends. When opened, the slit allows the tube to be placed onto the guide or removed from the guide.

Abstract: A variably expanding balloon catheter comprises a sequentially stepped outer shell when fully inflated, such as three sequentially increasing steps followed by three sequentially decreasing steps. For example, a balloon catheter comprises a sequentially stepped outer shell, when fully inflated, such that a first section of the outer shell is constrained to a first diameter by the sequentially stepped outer shell, and a second section, adjacent to the first section and attached to the first section by a step transition. The step transition provides a discontinuous change in diameter from the first diameter to the second diameter along a length of the balloon catheter, which may be abrupt.

Abstract: A balloon catheter system includes a tube and a dilator detachable from the tube after the tube is inserted into a cavity in the patient. The cavity may be filled with gas or liquid to expand the viscera surrounding the cavity and the guidewire may be inserted using a trochar, for example. The tube includes one or more lumen to expandable balloons that are inflatable by fluid inserted through the lumen and into the balloon or balloons, which are formed by elastic film sealed on opposite ends to the external diameter of the tube. The dilator is held in place during insertion, such as by a stainless steel shaft and a sheath portion of the dilator extending over the end of the tube being inserted into the cavity. A portion of the sheath may extend over and protect the balloon. A retractor net may be used to capture and remove the dilator or the dilator may be designed as a bioabsorbable or digestible material or of a material that passes safely through the digestive tract of a patient.

Abstract: A balloon catheter system includes a tube and a dilator detachable from the tube after the tube is inserted into a cavity in the patient. The cavity may be filled with gas or liquid to expand the viscera surrounding the cavity and the guidewire may be inserted using a trochar, for example. The tube includes one or more lumen to expandable balloons that are inflatable by fluid inserted through the lumen and into the balloon or balloons, which are formed by elastic film sealed on opposite ends to the external diameter of the tube. The dilator is held in place during insertion, such as by a stainless steel shaft and a sheath portion of the dilator extending over the end of the tube being inserted into the cavity. A portion of the sheath may extend over and protect the balloon. A retractor net may be used to capture and remove the dilator or the dilator may be designed as a bioabsorbable or digestible material or of a material that passes safely through the digestive tract of a patient.

Abstract: An feeding tube and a kit for installation of a feeding tube includes a balloon anchored gastric tube. A protective sleeve on a dilator protects the toroidal balloon from damage during surgical insertion of the feeding tube. An integrated gastro jejunal feeding tube unit may include a jejunal tube outlet port at one end, a jejunal balloon port, a gastric sleeve outlet port, one or more gastric balloon ports, one or more gastric balloons, gastric drainage holes, a jejunal balloon positioned at end of the jejunal tube and sleeve. Drainage holes may be provided in the jejunal tube and/or the gastric sleeve. Drainage holes in the gastric sleeve may be used to deflate the stomach, while nutrition is provided by a jejunal tube inserted in the jejunum, simultaneously.

Abstract: An feeding tube and a kit for installation of a feeding tube includes a balloon anchored gastric tube. A protective sleeve on a dilator protects the toroidal balloon from damage during surgical insertion of the feeding tube. In one example, a jejunal tube is integrated with the kit and the gastric tube serves as a gastric sleeve forming an annular region or channels for fluid flow to and/or from the stomach and to/from the jejunum. An integrated gastro jejunal feeding tube unit may include a jejunal tube outlet port at one end, a jejunal balloon port, a gastric sleeve outlet port, one or more gastric balloon ports, one or more gastric balloons, gastric drainage holes, a jejunal balloon positioned at end of the jejunal tube and sleeve. A black silk loop may affix an end of the jejunal tube at a position in the jejunum, and insertion of the jejunal tube may be monitored continuously using an endoscope. Drainage holes may be provided in the jejunal tube and/or the gastric sleeve.