Abstract: A percutaneous access catheter is employed for examining and treating internal body cavities and organs via an access tract. For example, the catheter can be employed for examining and treating the gallbladder via a transhepatic tract. The examination may employ endoscopic, fluoroscopic, ultrasonic, or other techniques; the treatment may employ surgical, chemical, or physical modalities. The catheter includes two inflation elements. These inflation elements control hemorrhaging and leakage of fluids from the internal body cavity or organ and reduce migration of the catheter within the internal body cavity or organ during the examination and/or treatment. The first inflation element is a toroidal elastic balloon located at the distal end of the device which serves to restrict the accidental or unintended removal of the distal end from the internal body cavity or organ.

Abstract: An endoscope having a deflectable tip configured so as to have a small outer diameter of approximately 0.15 inch or less. The endoscope includes a flexible shaft subassembly comprised of a conduit having a deflectable end segment at its distal end which can be controlled by a manually operable mechanism on a handle subassembly. The shaft subassembly further includes a cone subassembly at its proximal end including means for structurally connecting to the handle subassembly. Illumination fibers, an imaging fiber, a pull wire and a working channel extend through the shaft subassembly from its distal end to terminals in the cone subassembly for interfacing to the handle subassembly.

Abstract: A urine discharge measuring system for medical use which includes a gimbal mounted frame supporting a urine container of fixed dimensions to collect urine from a urinary catheter attached to a patient. An ultrasonic transceiver mounted above the container and operated in conjunction with a microprocessor based control unit, positioned adjacent to the transceiver, periodically and automatically measures the height of the urine collected within the container. The measured fluid height is converted to fluid volume by the control unit. To maintain the sterility of the container, the transceiver transducer(s) is mechanically isolated from the urine container by elements which allow the ultrasonic energy to be transmitted to and received from the interior of the container. In one described embodiment, desired measured volume accuracy is achieved by employing a reflective target within the urine container at a known fixed distance from the transceiver transducer.