Arrow Precision Products, Inc.

Medical Innovations, LLC

Ballard Medical Products, Inc.

George W Weaver

Harold Jacob

Damond C Holsinger

David F Leighton

Multi-lumen catheters are intended for advancement through the accessory channel on endoscope into a body passage into the gastrointestinal system. The catheters have two or more independent lumens extending continuously to ports at the distal tip for injection of a contrast medium simultaneously with a guide wire for ERCP procedures and for passage of accessories such as visualization devices, polypectomy snares, cytology brushes, papillotomes and stone baskets for catheterization, diagnosis and treatment within the biliary tract. Use of balloons for maintaining a catheter in fixed position in the biliary tract and for dilatation is also disclosed. The catheters employed are extrusions of a resin comprised of nylon and PEBA. The catheters may also be extruded from polyurethane. Multi-lumen catheters having a reduced diameter distal tip portion on which a dilatation balloon is located are also disclosed. The reduced diameter distal tip portion may serve as a platform for support of a stent.

Multi-lumen endoscopic catheter

A method of electrosurgically obtaining access to the biliary tree of a patient and visualizing a duct thereof using a catheter having at least a first lumen and a second lumen defined therethrough, each lumnen terminating in an opening defined at a distal end of the catheter, the first lumen of the catheter having a needle-knife disposed therein and the second lumen of the catheter enabling infusion of a contrast medium to visualize the duct of the patient while the needle-knife remains in the first lumen of the catheter, the needle-knife having a distal end and being connected to a deployment mechanism at a proximal end of the catheter for extending and retracting the needle-knife between a deployed position and a fully sheathed position relative to the distal end of the catheter, the deployment mechanism having an adjustable stop for adjusting the distance between the distal end of the needle-knife and the distal end of the catheter, the needle-knife electrically communicating with a power source to enable the operator to electrosurgically incise tissue in the duct of the patient.

Method for electrosurgically obtaining access to the biliary tree with

Forceps for mounting on a substantially flexible guide wire include a first jaw defining a longitudinal lumen therethrough for mounting of the first jaw on a guide wire and for sliding longitudinal movement of the first jaw along the guide wire. A second jaw is pivotably secured to the first jaw. A flexible longitudinally-extending drive is secured to the second jaw and extends generally parallel to the guide wire. The drive is longitudinally movable between an open position wherein the jaws assume an open orientation enabling tissue to enter therebetween and a closed position wherein the jaws assume a closed orientation such that any tissue which entered intermediate the jaws in the open orientation is grasped therebetween for movement therewith.

Forceps with guide wire

A surgical apparatus for simultaneously deploying a first instrument while retrieving a second instrument from the distal end of a sheath and vice versa with a single stroke actuator. The actuator includes an elongated support having a provision for grasping at one end thereof, a first sliding member having provisions for grasping and which is movable in first and second directions relative to the support, and a second sliding member operably coupled to the first sliding member such that translation of the first and second sliding members is in opposite directions relative to the support. The first sliding member is connected to the first instrument and the second sliding member is connected to the second instrument.

Surgical combination inject and snare apparatus

A method of electrosurgically obtaining access to the biliary tree of a patient and visualizing a duct thereof using a catheter having a least a first lumen and a second lumen. The first lumen has a needle-knife disposed therein, which knife may be moved between a deployed position and a sheathed position and is in electrical communication with a power source. The method includes the steps of (1) inserting the catheter through an endoscope and into the duodenum of a patient proximal to the entrance to the common bile duct, (2) deploying the needle-knife, (3) manipulating the needle-knife and applying current thereto to incise tissue proximal to the entrance to the common bile duct, (4) withdrawing the needle-knife into the sheathed position, (5) advancing the catheter into the common bile duct to a desired location within said duct; and (6) infusing a contrast medium through a second lumen of the catheter to visualize the common bile duct through the use of the contrast medium while the needle-knife remains in the first lumen of the catheter.

Method and apparatus for electrosurgically obtaining access to the

A surgical instrument assembly for use in a biopsy operation includes a flexible tube having a pair of opposed ends and a substantially rigid, cylindrical cutter having a distal end, a proximal end secured to one of the opposed tube ends for longitudinal movement therewith, and a sidewall connecting the distal and proximal ends. The cutter sidewall defines at least one recess having a barb at the outer distal end thereof for separating biopsy tissue from a patient and maintaining the separated tissue in the recess during movement of the cutter. The other of the opposed tube ends is optionally operatively securable to a vacuum source for applying a vacuum to the recess via a longitudinal cavity in the tube and cutter member. An unloading stylet may be disposed within the longitudinal cavity in the cutter for sliding movement relative thereto between a proximal position relative to the recess and a distal position within the recess, whereby movement of the unloading stylet from the proximal position to the distal position ejects from the recess any separated tissue therein.

Biliary biopsy device

This invention is directed to a mouthpiece which directs oxygen into to the mouth of a patient, whether the oxygen is supplied to the patient by a single oxygen supply tube or by conventional nasal cannulae extending from a common oxygen supply tube. In addition, the mouthpiece of the invention provides auxiliary openings through which fingers can be inserted into a patient's mouth so as to allow for manual manipulation of the mouthpiece once it is placed in the mouth.

Mouthpiece with oxygen receiving and directing structure

A improved biliary catheter is disclosed. The catheter comprises a tube constructed from a polyurethane or nylon having a durometer of about 60D and coated with a hydrophilic coating to provide lubricity, kink resistance and suppleness. The tube has substantially cylindrical sidewalls and a proximal end for connection to a source of contrast medium and a distal end for entry into the common biliary duct of a patient. The tube contains a first crescent-shaped lumen channel extending between the proximal and the distal end, the first lumen channel transporting the contrast medium from the source of contrast medium to the biliary duct; and a second circular lumen channel extending between the proximal end and said distal end for facilitating the insertion and threading of a spring wire guide into the dual-lumen biliary catheter.

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East Earl, PA, United States of America

George W Weaver