Abstract: A balloon catheter is provided that may be used to maneuver around tortuous body lumens. The balloon catheter comprises one or more balloons disposed about a tip of the shaft. Each balloon includes a dedicated lumen to allow inflation of each balloon independent of the others. Inflation of a balloon causes the shaft tip to deflect in a direction that is oriented opposite of the inflated balloon. The bent orientation of the shaft tip allows the catheter and a guide wire to be maneuvered through tortuous body lumens.

Abstract: An apparatus and method for ejecting fluid from a fluid delivery system. The fluid delivery system has a pneumatic assembly that when triggered injects gas into a hydraulic assembly, which in turn ejects fluid through an external interface. An electronic interface displays various measurements, for example, how much fluid has been ejected and if the hydraulic system is closed the pressure of the system. The pneumatic assembly can also be depressurized such that fluid can reenter the hydraulic assembly through the external interface.

Abstract: A balloon catheter is disclosed including a “no-fold” balloon at a distal end thereof that surrounds a distal portion of a guidewire shaft having a compliant shaft or tubular section for selectively gripping a guidewire there within. Upon introduction of inflation fluid at low pressure values, the compliant shaft section of the guidewire shaft is radially compressed to “lock” onto the guidewire while an outer diameter of the no-fold balloon remains unchanged. The simultaneous compression of the compliant shaft section against a guidewire located within the guidewire lumen and the filling of the balloon with inflation fluid without expanding the balloon provides a clinician with a conjoined balloon catheter and guidewire ensemble that together may be pushed through a tight stenosis such as a chronic total occlusion (CTO).

Abstract: A resector balloon system is disclosed generally comprising a catheter with at least one balloon having an outer wall with a resecting, non-slip surface for resecting unwanted biological material, such as tissues or tumors, and a pump that supplies fluid thereto in pulsed fashion to repeatedly deflate and inflate said balloon. In certain embodiments, the pump includes a processor that controls the pulsed supply of fluid based on an established frequency or change in volume. In some embodiments, the system includes a keyed connector with which the pump identifies the balloon type, and in some cases, the system calculates intra-lumen diameters and densities. In some embodiments, the balloon portion of the catheter includes multiple balloon segments, which in some cases, are inflatable separately from one another.

Abstract: A dilatation catheter for delivering a therapeutic agent within a body lumen having a wall with a thickness is provided having a balloon having a flexible wall including a polymer with dispersed nanotubes and pores configured to close below a predefined pressure and to open at or above a predefined pressure. In some embodiments, an actuator is provided to controllably inflate the balloon with a fluid at a pressure sufficient to bring the flexible wall of the balloon into contact with at least a portion of the wall of the body lumen but below the predefined pressure, and to controllably increase the pressure of the fluid within the inflated balloon to at least the predefined pressure at a rate and with a force sufficient to deliver the therapeutic agent from the pores and through at least a portion of the thickness of the wall of the body lumen.

Abstract: A system including an overtube configured to radially expand facilitates insertion of instruments in a patient. The system is directed to an overtube comprising an elongated body having a distal end and a proximal end, the overtube configured to radially expand from an insertion configuration to an expanded configuration, and including at least one articulation section having at least one degree of freedom and including a main channel expandable in the radial direction, and at least one additional channel. The at least one articulation section can radially expand. The system may include a radially expandable overtube having an optical channel configured to receive an optical device. The main channel and/or the at least one additional channel may be sized to receive one or more medical instruments.

Abstract: A guiding catheter for endovascular recanalization of occluded coronary arteries includes a polymeric tube having a main channel, for introduction of a dilatation balloon catheter or a stent along the guide. The polymeric tube has an auxiliary channel for providing overpressure to an elastic balloon(s) that is located on a distal end of the catheter. The elastic balloon(s) is in communication with the auxiliary channel and has at least one fixating protrusion on its outer surface. The catheter can have between 2 and 4 elastic balloons at its distal end, each elastic balloon having at least one fixating protrusion on its corresponding outer surface. The fixating protrusion is preferably in a form of a hemisphere, or is elongated in a direction of the longitudinal axis of the catheter. A height of the fixating protrusion is between 0.01 and 1 mm above the surface of the elastic balloon.

Abstract: Apparatus and methods are disclosed for medical treatment comprising bone, tissue or duct dilatation using inflatable dilatation elements together with apparatus and techniques for tensioning, stretching, folding, and/or wrapping the dilatation elements externally as well as in situ to facilitate insertion, positioning and withdrawal procedures.

Abstract: Apparatus and methods are disclosed for medical treatment comprising bone, tissue or duct dilatation using inflatable dilatation elements together with apparatus and techniques for tensioning, stretching, folding, and/or wrapping the dilatation elements externally as well as in situ to facilitate insertion, positioning and withdrawal procedures.

Abstract: Apparatus and methods are disclosed for medical treatment comprising bone, tissue or duct dilatation using inflatable dilatation elements together with apparatus and techniques for tensioning, stretching, folding, and/or wrapping the dilatation elements externally as well as in situ to facilitate insertion, positioning and withdrawal procedures.

Abstract: Apparatus and methods are disclosed for medical treatment comprising bone, tissue or duct dilatation using inflatable dilatation elements together with apparatus and techniques for tensioning, stretching, folding, and/or wrapping the dilatation elements externally as well as in situ to facilitate insertion, positioning and withdrawal procedures.

Abstract: An exhaust-pressure-operated balloon catheter system which is a cross stream thrombectomy catheter, such as, but not limited to, an Angiojet® catheter with a flexible and expandable balloon, wherein the balloon is formed from and is continuous with the catheter tube which, in part, forms the cross stream thrombectomy catheter, wherein the balloon is deployable and expandable about the distal region of the cross stream thrombectomy catheter to act as an occluder device, and wherein the balloon is located proximal to the fluid jet emanator and inflow and outflow orifices upstream of ablative cross stream flows. The balloon is expandably deployed by the exhaust or back pressure created by the operation of the cross stream flows as generated by the fluid jets of the operating exhaust-pressure-operated balloon catheter system.

Abstract: Systems and methods for measuring the pressure exerted between or within anatomical masses/structures, as well as the position and/or spatial dimensions of an anatomical structure. According to a preferred embodiment, the invention comprises a sensor element positionable between anatomical structures or within an anatomical structure. The sensor is operative to generate a signal indicative of the pressure being exerted therebetween or therewithin. The sensor may be operative to measure spatial dimensions between structures or within a structure. A monitor coupled to the sensor receives a signal generated thereby and provides an indication as to the spacing or pressure being measured. The systems and methods may be utilized in diagnostic tests or surgical procedures.

Abstract: A steerable guidewire having a deflectable distal tip which comprises a longitudinal hypotube and an interlocking spring coil attached to the distal end of the hypotube and also includes a longitudinally movable deflection member which is attached to the distal end of the spring coil and a tip retaining ribbon which extends from the distal end of the hypotube to the distal end of the spring coil for providing very precise deflection of the distal tip. The distal end of the deflection member has “skived,” or tapered, sides to enhance the flexibility of the guidewire.

Abstract: According to the present invention there is provided an inflation/deflation system for a dilatation balloon comprising a receptacle, a pressure member, a sensing system and a data processing and display unit. The receptacle is adapted to contain an inflation fluid to be introduced into the balloon during its inflation. The receptacle also has an inlet/outlet port adapted for connection to the dilatation balloon; The pressure member is adapted to be axially displaced within the receptacle to cause the fluid to exit the receptacle via the outlet port. The sensing system comprises a first sensor and a second sensor. The first sensor is associated with the pressure member to sense its axial displacement. The second sensor is associated with the interior of the receptacle to sense in a non-contact manner the pressure P of the inflation fluid within the receptacle, and to provide a corresponding data signal.

Abstract: A balloon-angioplasty device for dilating a. region of a vessel of a patient which has been at least partially occluded by the presence of a stenotic lesion in the vessel is disclosed. The device comprises an elongate catheter shaft having an inflatable element located around the catheter shaft proximal to its distal end, the inflatable element comprising a dilatation balloon and a membrane which extends in a longitudinal direction around the dilatation balloon and has at least one flushing fluid opening located at or near its distal end. At least a portion of the flushing fluid that has entered the vessel through the or each flushing fluid opening (s) in the membrane is forced to flow in a retrograde direction between the treated stenotic lesion and the membrane.

Abstract: A distal end of a flexible catheter can be selectively deflected in a desired direction by actuating one or more actuators that extend outwardly of an exterior surface of the catheter. Each actuator can be a balloon disposed within a non-extendible balloon or sheath. Inflation of one (or both) of the balloon and the non-extendible balloon with a pressurized fluid can deflect the distal tip of the catheter. Another actuator embodiment comprises a strip of a bimorph material that bends outwardly when actuated, e.g., by heat, applying a force against adjacent tissue to deflect the distal tip. Yet another embodiment includes a strip of material that shortens when heated and can be coupled to a balloon that is inflated outwardly to increase a radial moment arm of the force applied thereby, relative to a neutral axis of the catheter, to more readily deflect the distal tip.

Abstract: An internal compression tourniquet catheter system and method for wound track navigation for controlling hemorrhage from wounds. The preferred embodiments include an inflatable member constructed of thin, flexible, biocompatible, and puncture resistant material such that when deflated it lies flat and can be wrapped around the catheter shaft, which passes within and has a lumen to inflate it, to minimize overall diameter when deflated for insertion into the tissue track created by the wounding agent. The inflatable member is of large potential volume enabling full inflation with near zero internal pressure when unconstrained externally. When positioned within a wound track and inflated, the gas or liquid injected into the balloon lumen creates pressure because its expansion is constrained by the tissues of the wound, and that pressure is transmitted directly to the surrounding tissue of the wound track.

Abstract: A steerable balloon catheter including a balloon catheter supported by a steerable guidewire having a deflectable distal tip. The guidewire comprises a longitudinal hypotube and a spring coil attached to the distal end of the hypotube and includes a longitudinally movable deflection member which is attached to the distal end of the spring coil and a tip retaining member which extends from the distal end of the hypotube to the distal end of the spring coil for providing very precise deflection of the distal tip of the balloon catheter.

Abstract: In a pre-filled Foley catheter for urine drainage, the conventional clip for releasing sterile water from a bulb (21) at the proximal end of the catheter, to fill the anchor bulb (20) at the distal end of the device, is replaced by a plug (25) which has an annular portion connected to a thin stem (27) by a circle of weakness. Snapping the stem (27) from the annulus provides a tactile signal through the opaque latex lumen that the catheter has been actuated. There is no separate clip to be disposed of. The interface between the latex and the plug remains undisturbed. Further improvement in the shelf-life and convenience of use of the catheter is delivered by the use of a sleeve, which can be of shrink-wrap material, around the bulb (21) and optionally also around the drain coupling (15) of the catheter. Apparatus for placing the plug and the sleeve is also described.

Abstract: A method for placing a stent into a main vessel such that the stent side hole aligns with a branch vessel ostium comprises inserting a main vessel guidewire into the main vessel and a branch vessel guidewire into the main vessel until a distal end of the branch vessel guidewire passes into the branch vessel. A catheter system is positioned over the main vessel guidewire and the branch vessel guidewire. The catheter system is advanced over the guidewires until the catheter body passes beyond the ostium of the branch vessel and the side member extends into the branch vessel. Marker separation is observed to indicate the catheter body passed beyond the ostium and the side member extends into the branch vessel. The balloon is inflated to deploy the stent with the side hole being aligned with the ostium. The balloon is deflated, and the catheter system is withdrawn.

Abstract: An apparatus and a method for establishing a static column of gas inside a blood vessel and a system for automatically regulating the delivery and removal of the gas from the target blood vessel. The regulated gas delivery system for use with the gas-column angioscopy procedure comprises a gas reservoir, a pair of syringes operated by computer controlled electromotors, a valve system for directing the flow of gas into and out of the system, and a catheter assembly for establishing the gas-column inside the target vessel and for introducing fiber optic and microsurgical devices into the lumen of the target vessel.

Abstract: A balloon catheter inflation system. And inflation device includes a housing defining a chamber for an inflation medium. The housing can be coupled to a balloon catheter that has two balloons. The housing can be coupled to the catheter such that the chamber is in fluid communication with the balloons. The inflation system further includes a valve configuration operatively associated with the chamber to provide a first pressure to one of the balloons and a second pressure to the other balloon by a single inflating action that moves the inflation medium from the chamber to the balloons. The balloons of a multiple balloon catheter can each be inflated to a different pressure substantially simultaneously by a single inflating action.

Abstract: The present invention relates to apparatus, systems, and methods utilizing cryogenic cooling in an angioplasty balloon catheter for treatment of arterial stenosis and prevention of restenosis. More particularly, the present invention relates to an angioplasty balloon catheter utilizing expansion of compressed gas to effect Joule-Thomson cooling of an angioplasty balloon, and optionally further incorporating external temperature sensors utilizable to identify a locus for treatment of arterial stenosis. The present invention further relates to angioplasty treatment systems incorporating such a catheter, and to cryogenic angioplasty methods for treating arterial stenosis and discouraging restenosis.

Abstract: Methods and systems for controlling and monitoring pressurization data. The methods and systems advance beyond the prior art in their ability to convey pressurization data unambiguously. The methods and systems include a novel combination of visual cues and control features to insure that pressurization data may be analyzed accurately. For example, the visual cues and control features include changing the background color of the display area and providing a pressurization arrow to indicate pressurization or depressurization; a time showing the elapsed time of pressurization or depressurization; a pressurization number indicating the number of pressurization cycles that have occurred; software keys for making configuration choices; and text and graphic display modes. A touch interface may be provide for user interaction. To insure accurate pressure measurements, at least one pressure reference standard may also be utilized.

Abstract: Disclosed is a catheter having an elongated cannula with an infusion lumen and a pressure-sensing lumen, and a portion of the cannula which tapers to form a distal end which is narrower than the more proximal portions of the cannula. The distal end of the cannula has a rounded tip and forms at least one infusion lumen opening and a pressure-sensing opening. A balloon is attached to and surrounds the cannula near the distal end while being in fluid communication with the infusion lumen through one or more inflation openings. The infusion lumen openings are smaller than the inflation openings so as to make the balloon self-inflating. Also disclosed is a method for using such a catheter to perform cardioplegia by the retrograde infusion of a cardioplegic fluid into the coronary sinus.

Abstract: An inflation device such as a syringe is preloaded with gas (other than air) for inflation of balloon catheters. The syringe is lined with, or is packaged within, a low gas-permeability membrane to keep the stored gas from becoming contaminated with air. The physician using the syringe is able to determine whether air has infiltrated the syringe and contaminated the gas stored in the syringe.

Abstract: The invention concerns a catheter (1) designed to be inserted in a corporeal duct and comprising a flexible elongated body, rigid in traction, including a sealed tubular sheath (3) for transmitting a fluid under pressure and capable of being subjected to radial collapse. Said catheter is characterized in that said sheath (3) is made at least partially of a flexible material and has a thin wall (4) with uneven surface, such that, when said sheath (3) is subjected to such a radial collapse, the irregularities at the surface thereof maintain a fluid communication (7) between said sheath (3) ends.

Abstract: A method of delivering an arteriogenic factor. The factor is delivered in a medically effective manner to structurally enlarge an existing blood vessel. A distal portion of a catheter can be advanced to an existing blood vessel to deliver the arteriogenic factor.

Abstract: An expandable lumen cannula which includes an elongate tube having a proximal end, a distal end, an intermediate flexible region, and a lumen therebetween. The cannula further includes a balloon occluder mounted on the distal end of the tube. The intermediate flexible region of the tube further includes an elongate generally cylindrical balloon disposed circumferentially about the flexible region which, upon inflation, expands the luminal diameter of the intermediate region. First and second inflation ports are in fluid communication with the balloon occluder and the cylindrical balloon. The cannula may optionally include a cardioplegia port disposed within the distal region of the tube, proximal the balloon occluder and distal the generally cylindrical balloon.