An ultrasound endoscope includes: an insertion portion configured to be inserted into a living body; an ultrasound transmitting and receiving unit; a balloon surrounding the ultrasound transmitting and receiving unit; a water supply port for supplying water to the balloon; an operating unit provided at a proximal end side of the insertion portion; a cable extending from the operating unit; a channel provided in the insertion portion and leading to the water supply port to supply water toward the water supply port; a pipe provided in the cable; a cylinder provided at the operating unit, one end of the channel and one end of the pipe being opened to the cylinder; an injection port provided in the pipe; and a duct having one end leading to the pipe via the injection port and having the other end to which a syringe for injecting water or supplying air is attachable.

A system for extracting plaque from a cavity of a vasculature can include a balloon guide catheter (BGC) and an adjustable plaque displacement apparatus. The BGC can include a BGC distal end, an expandable proximal balloon, an inflation lumen extending through the BGC and including a first opening. The BGC can further include a device delivery lumen and a second opening positioned distal to the expandable proximal balloon. Also, the BGC can include an inner tube extending through the device delivery lumen. The inner tube can include a tube distal end, an expandable distal occlusion element positioned approximate the tube distal end and movable to exit the second opening. Turning to the adjustable plaque displacement apparatus, the adjustable plaque displacement apparatus can be positioned within the device delivery lumen and movable in at least one of a longitudinal and rotational direction in relation to the BGC.

A balloon catheter device with a fluid management system includes a source of balloon fill media and a balloon catheter in fluid communication with the source of balloon fill media. A first conduit is provided for delivering the balloon fill media from the source to the balloon catheter for inflation of a balloon of the catheter device. A second conduit is provided for returning the balloon fill media from the balloon catheter to the source for deflating the balloon. A first pump is disposed along one of the first conduit and the second conduit for pumping the balloon fill media through the respective conduits. The fluid management system operates in three states, namely, (1) a first state in which the balloon fill media is delivered to the balloon for inflation thereof, (2) a second state in which the balloon fill media is removed from the balloon for deflation thereof; and (3) a trapped volume mode in which the balloon fill media is circulated through the balloon so as to maintain an at least substantially constant pressure in the balloon. The fluid management system is configured to maintain a pressure of the balloon between 0.2 psi and 1 psi while maintaining adequate fluid flow to cool the balloon.

A balloon catheter system for infusion of micelles at high pressure. The system includes a catheter with a drug eluting balloon with a perforated wall with numerous pores, a reservoir of nanoparticles in an aqueous solution disposed within the balloon or in fluid communication with the balloon. The particles may comprise drug loaded micelles, where the micelles are provided in the size range of 40 to 250 nm generally (0.040 μm to 0.250 μm), and the pores of the balloon wall are configured to allow passage of the micelles with a minimum of disruption, The pores are conical, with the diameter of the pore at the inside of the balloon wall smaller than the diameter of the pores at the outside of the balloon wall.

A multi-purpose balloon catheter includes a catheter having a proximal end portion, a central portion and a non-branching distal end portion, a plurality of lumens associated with the catheter extending from the proximal end portion, and a plurality of inflatable balloons positioned in the central portion and/or the non-branching distal end portion. Each of the plurality of inflatable balloons is communicatively associated with a corresponding one of the plurality of lumens, the plurality of inflatable balloons being selectively inflated or deflated to position and stabilize the catheter in a cavity for delivery of a medical treatment. The catheter can include an extraction point associated with a lumen to remove fluids and materials from the cavity, and a connector associated with a corresponding lumen adapted to selectively receive one or more of a fluid medium or a radioactive isotope provided to a corresponding lumen for delivery of the medical treatment.

Endolumenal devices and methods can be used for the treatment of health conditions including obesity and diabetes. In some embodiments, the methods and systems provided herein can cause weight loss or control diabetes by reducing the caloric absorption of an individual. For example, this document provides several devices and methods for treating obesity and diabetes by using electroporation to modulate the duodenal mucosa. In addition, this document provides devices and methods for bypassing portions of the gastrointestinal tract to reduce nutritional uptake.

According to an aspect, an implantable device includes a pressurize fluid reservoir configured to hold fluid, an inflatable member; and an electronic pump assembly. The electronic pump assembly includes a pump, an active valve, a pressure sensor configured to monitor a pressure of the inflatable member, and a controller configured to cause the active valve to be in an open position during at least a portion of an inflation cycle to allow the fluid to be transferred from the pressurized fluid reservoir to the inflatable member. The controller is configured to transition the active valve to a closed position in response to the pressure of the inflatable member achieving a target pressure.

Devices and methods for treating obesity are provided. More particularly, intragastric devices and methods of fabricating, deploying, inflating, monitoring, and retrieving the same are provided.

A balloon catheter device with a fluid management system includes a source of balloon fill media and a balloon catheter in fluid communication with the source of balloon fill media. A first conduit is provided for delivering the balloon fill media from the source to the balloon catheter for inflation of a balloon of the catheter device. A second conduit is provided for returning the balloon fill media from the balloon catheter to the source for deflating the balloon. A first pump is disposed along one of the first conduit and the second conduit for pumping the balloon fill media through the respective conduits. The fluid management system operates in three states, namely, (1) a first state in which the balloon fill media is delivered to the balloon for inflation thereof, (2) a second state in which the balloon fill media is removed from the balloon for deflation thereof; and (3) a trapped volume mode in which the balloon fill media is circulated through the balloon so as to maintain an at least substantially constant pressure in the balloon. The fluid management system is configured to maintain a pressure of the balloon between 0.2 psi and 1 psi while maintaining adequate fluid flow to cool the balloon.

A method for inflating an inflatable balloon of a catheter for a bowel irrigation system is disclosed. The bowel irrigation system comprises a container for holding a liquid, a catheter, a tubing connecting the container and the catheter, a pump, a control unit, and a pressure sensor. The catheter is adapted for being inserted into a rectum of a user and comprises an inflatable balloon. The pump is adapted for pumping liquid from the container to the balloon through the tubing. The control unit comprises a processor. The pressure sensor is in fluid communication with an interior of the inflatable balloon. The method comprises the steps of providing a liquid in the container and initiating an inflation process comprising a feedback loop comprising the steps of (i) inflating the balloon by a predefined amount of liquid, (ii) assessing a static pressure inside the balloon, and (iii) selecting an output based on the static pressure as assessed according to step (ii), the output being selected from restarting the feedback loop according to step (i), skipping step (i) and proceeding to assessing the static pressure according to step (ii), and terminating the feedback loop. Thereby, a method for providing a stepwise inflation of an inflatable balloon for a bowel irrigation system is provided.