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US612724A
US612724A US612724DA US612724A US 612724 A US612724 A US 612724A US 612724D A US612724D A US 612724DA US 612724 A US612724 A US 612724A
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sleeve
barrel
tube
head
elastic
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M29/00Dilators with or without means for introducing media, e.g. remedies
    • A61M29/02Dilators made of swellable material
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, E.G. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/95Instruments specially adapted for placement or removal of stents or stent-grafts
    • A61F2/958Inflatable balloons for placing stents or stent-grafts

Description

No. 612,724. Patented oct. ls, |898.

VJ. R. HAMILTON. THERMAL DILATUR.

(Application tiled June 4, 1897.)

(No Modal.)

WITNESEEE:

ma Nonms PETERS en., worum-mo.. wAsmNsfcN, u. c4

lINITE STATES JONATHAN E. HAMILTON, OE TOLEDO, OHIO, ASSIGNOE, EY DIEEOT AND' MEsNE ASSIGNMENTS, OE ONE-IIALE TO CHARLES s. EMERY AND AL- BERT J. MARKS, OF SAME PLACE.

THERMAL DILATOR.

SPECIFICATION forming part of Letters Patent No. 612,724, dated October 18, 1898.

Application filed 511118 4,1897. Serial No. 639,473.` (llo model.)

T0 a/ZZ whom t may concern.-

Be it known that 1, JONATHAN R. HAMIL- TON, a citizen of the United States, residing at Toledo, Lucas county, Ohio, have invented certain new and useful Improvements in Catheters for Thermal Applications, of which the following is a specification.

My invention relates to urethral and rectal dilators, heaters, and coolers, and more especially to a set of instruments designed for the purposes indicated having interchangeable parts; also, to means for attaching and securing in place the dilatable parts; also, to means for controlling and adjusting the dilatation of the dilatable parts of my devices.

The objects of my invention are to furnish a Set of instruments by which predetermined degrees of temperature may be utilized as therapeutic agents in connection with the proper dilatation of the parts under treatment and to provide for such dilatation both above and below strictures, sphincters, and the like without undue stress upon the contracted part. I attain these objects by means of the devices and arrangement of parts hereinafter described, and shown and illustrated in the accompanying drawings, made part hereof, in which- Figure 1 is a central longitudinal section of a portion of my device arranged as a rectal dilator; Fig. 2, a central longitudinal sectional view of a part of my device designed to be used as a rectal heater or cooler; Fig. 3, a central longitudinal section of part of my device designed to be used as a male catheter, and Fig. 4 the same designed to be used as a female catheter.

Like numerals of reference indicate like parts throughout the drawings.

In the drawings, 1 is a head, having branches 2, each branch being provided at its extremity with a swell 3, adapted to receive and retain the end of a flexible elastic tube 4 5. In one of the arms 2 is an inlet-duct 6, having a check-valve 7, and in the other arm is an outlet-duct 8, having a cock or valve 9. The

two ducts 6 8 are connected with a duct or passage 10, leading to the interior of the several instruments hereinafter to be described.

Each of the instruments is provided with a barrel or tube 11 of suitable material-Snom for instance, as nickeled steel-and is provided at one end with a threaded portion 12 to be engaged with a corresponding threaded portion 13 upon the head 1. In that form of my device which is used for both dilatation and change of temperature the barrel 11 at its outer extremity is surrounded by and inclosed in an elastic sleeve 14. (Shown in expanded state by dotted lines and as unexpanded by solid black lines.) This sleeveis formed with ends somewhat contracted and with a thickened contracted portion, as at 14, less elastic than the remainder of the sleeve. The elastic sleeve is secured in place and against leakage as follows: Upon the barrel 11 are thickened portions J15 1,5, conical in outline, the bases of the two cones being toward each other. The elastic sleeve is stretched over the tube in such manner that the two cones rest in the end openings of the sleeve. The barrel 11 is screw-threaded, as at 16, and has screwed upon it a cup-shaped nut 17, which when screwed forward clamps between the surface of its cup-shaped cavity and the conical surface of the portion 15 one end of the iexible sleeve 14. The cup-shaped portion 17 may, if desired, be formed integral with the barrel 11, as shown in Figs. 3 and 4, and the screw connection may be made by forming the barrel 11 in two pieces, one piece having a screw-pin and the other a threaded socket to receive the same at the point where the sleeve is to be clamped, as illustrated in Figs. 3 and 4. The opposite end of the sleeve is in like manner clamped between the conical surface of the part 15a and the cupped cavity of a cap 18, which is secured in place by means of screw 19, which takes a threaded axial bore 2O in the end of the barrel 1l. The screw 19 may be either separate, as shown in Fig. 1, or integral with the cap 18, as shown in Figs. 2 and 3. Leading from the interior of the barrel 11 and communicating with the annular chambers formed by the sleeve 14 are orifices 21.

The head 1 is provided 'with an extensiontube la, formed, preferably, integral with the head. This extension-tube is open at its extremity and is of such diameter that it will slip into the interior of the barrel 1l, leaving a thin annular space between the two parts.

IOO

Each of the instruments of the set has its screw-threaded opening 12 of uniform bore and thread, so that the head 1,with its threaded pin 13 and extension-tube 15, may be used interchangeably with all the instruments.

The operation of my device thus far described is as follows: The inlet-tube it is connected with a supply of iiuid of the desired temperature, the pressure within the tube 4 being controlled in any suitable mannersuch, for instance, as the bulb of a handsyringe or by the gravity of the column of Water within the tube. The instrument is now introduced, uneXpanded, to the point to be treated. The fluid is admitted or forced through ducts 6 and 10, the interior of the barrel 11, and orifices 21 to the annular chambers between the barrel and the sleeve 14. The sleeve is now distended in proportion to the pressure of its contained fluid, assuming the form outlined by the dotted lines. The pressure within the sleeve may be controlled to a nicety by means of the cock 9, which permits the waste of the fluid as rapidly as may be desired. The backward flow of the fluid is prevented by the check-valve 7.

The contracted part 14 of the elastic sleeve 14 being thicker in cross-section than the remainder of the sleeve does not readily yield to internal pressure, and thus dilatation takes place under ordinary pressure only on either side of the part 14a. It will be seen, therefore, that when the contracted portion 14Ca is made to coincide with a stricture, sphincter, or the like it will not be deranged by the eX- pansion of the sleeve 14. If desired, the part 14 may be provided with a ligature, which will further contract the part and which will insure against any expansion; Abut under ordinary circumstances this will be found unnecessary.

It should be understood that l do not limit my invention to either thev contraction or thickening or ligation of the sleeve to form the part 14., as obviously these devices,which are here described by way of illustration, are the equivalents of each other, and any means for providing the sleeve 14 with a zone located between the ends of the sleeve, which zone yields less readily to internal pressure than the remainder of the sleeve, is within the spirit of this part of my invention.

In case the thermal application is to be madewithout dilatation the instrument shown in Fig. 2, formed of non-elastic material, may be used by screwing its threaded socket upon socket 12 and upon the pin 13. This instrumentatits open extremity is jacketed, as at 22,

with a sleeve of low heat conductivity, such as vulcanite, for the protection of sensitive exterior parts against undue heat.V

What I claim as my invention, and desire to secure by Letters Patent, is-

1. A catheter for thermal applications comprising a head, two branches thereto, a valved inlet in one of said branches, a valved outlet in the other of said branches, a barrel or tube detachably secured to said head, a sleeve of elastic material upon said barrel or tube having a zone between its extremities which zone yields less readily to internal pressure than the remainder of said sleeve, and ducts between the interior of said barrel or tube and the annular space between said sleeve and said barrel or tube.

2. A catheter-head, two branches to said head, a valved inlet in one of said branches, a valved outlet in the other of said branches, an extension tube or pipe upon said head, a screw-threaded portion upon said head adapted to be connected to one of a series of catheter tubes or barrels, each adapted to receive said extension tube or pipe within it, and a screw-threaded portion on each of said tubes or barrels, whereby said tubes or barrels may be interchangeably secured to said head, substantially as and for the purpose specified.

3. A tube or barrel, means for supplying fluid to the interior thereof, a sleeve of elastic material upon said tube or barrel'having a zone between its extremities which zone yields less readily to internal pressure than the remainder of the sleeve, and ducts leading from the interior of said barrel or tube int-o the annular chambers between said tube and said sleeve.

4. A tube or barrel, two thickened conical portions thereon, an elastic sleeve embracing each of. said conical portions, and cup-shaped nuts on said barrel or tube adapted to clamp, between the surfaces of their cup-shaped cavities and the conical surfaces of said conical portions the said elastic sleeve, substantially as and for the purpose specilied.

5. A tube or barrel, an elastic sleeve thereon having a Zone of greater resistance to i11- ternal pressure than the remainder of the sleeve, and openings from the barrel into the interior of the sleeve, in combination with a head detachably secured to said tube or barrel, an inlet to said head, an outlet, and an extension-tube upon said head leading into said barrel.

' JONATHAN R. HAMILTON.

In presence of- F.. M. DorsoN, L. E. BROWN.

IOO

IIO

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Cited By (36)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3087492A (en) * 1960-12-29 1963-04-30 May L Chester Valved catheters
US3131694A (en) * 1960-12-29 1964-05-05 May L Chester Catheters
US3504662A (en) * 1967-05-16 1970-04-07 Avco Corp Intra-arterial blood pump
US3720200A (en) * 1971-10-28 1973-03-13 Avco Corp Intra-arterial blood pump
US3726273A (en) * 1971-07-21 1973-04-10 N Cole Muscle exercising device
US3924628A (en) * 1972-12-01 1975-12-09 William Droegemueller Cyrogenic bladder for necrosing tissue cells
US4083369A (en) * 1976-07-02 1978-04-11 Manfred Sinnreich Surgical instruments
US4167938A (en) * 1976-09-28 1979-09-18 Harry Remih Exerciser for vaginal muscles
US4955377A (en) * 1988-10-28 1990-09-11 Lennox Charles D Device and method for heating tissue in a patient's body
WO1991003207A1 (en) * 1989-09-08 1991-03-21 Boston Scientific Corporation Physiologic low stress angioplasty
US5062425A (en) * 1987-06-26 1991-11-05 Tucker Annabelle D Expansible internal pressure cold packs and perineal ice pad
US5103804A (en) * 1990-07-03 1992-04-14 Boston Scientific Corporation Expandable tip hemostatic probes and the like
US5191883A (en) * 1988-10-28 1993-03-09 Prutech Research And Development Partnership Ii Device for heating tissue in a patient's body
USRE37704E1 (en) 1990-03-22 2002-05-14 Argomed Ltd. Thermal treatment apparatus
US7837679B2 (en) 2000-10-17 2010-11-23 Asthmatx, Inc. Control system and process for application of energy to airway walls and other mediums
US7921855B2 (en) 1998-01-07 2011-04-12 Asthmatx, Inc. Method for treating an asthma attack
US7938123B2 (en) 1997-04-07 2011-05-10 Asthmatx, Inc. Modification of airways by application of cryo energy
US7992572B2 (en) 1998-06-10 2011-08-09 Asthmatx, Inc. Methods of evaluating individuals having reversible obstructive pulmonary disease
US8181656B2 (en) 1998-06-10 2012-05-22 Asthmatx, Inc. Methods for treating airways
US8251070B2 (en) 2000-03-27 2012-08-28 Asthmatx, Inc. Methods for treating airways
US8257413B2 (en) 2000-10-17 2012-09-04 Asthmatx, Inc. Modification of airways by application of energy
US20130023970A1 (en) * 2010-03-28 2013-01-24 Kimberly Cull Treating Medical Conditions in Body Cavities
US8443810B2 (en) 1998-06-10 2013-05-21 Asthmatx, Inc. Methods of reducing mucus in airways
US8483831B1 (en) 2008-02-15 2013-07-09 Holaira, Inc. System and method for bronchial dilation
US8740895B2 (en) 2009-10-27 2014-06-03 Holaira, Inc. Delivery devices with coolable energy emitting assemblies
US8808280B2 (en) 2008-05-09 2014-08-19 Holaira, Inc. Systems, assemblies, and methods for treating a bronchial tree
US8911439B2 (en) 2009-11-11 2014-12-16 Holaira, Inc. Non-invasive and minimally invasive denervation methods and systems for performing the same
US9149328B2 (en) 2009-11-11 2015-10-06 Holaira, Inc. Systems, apparatuses, and methods for treating tissue and controlling stenosis
US9272132B2 (en) 2012-11-02 2016-03-01 Boston Scientific Scimed, Inc. Medical device for treating airways and related methods of use
US9283374B2 (en) 2012-11-05 2016-03-15 Boston Scientific Scimed, Inc. Devices and methods for delivering energy to body lumens
US9339618B2 (en) 2003-05-13 2016-05-17 Holaira, Inc. Method and apparatus for controlling narrowing of at least one airway
US9398933B2 (en) 2012-12-27 2016-07-26 Holaira, Inc. Methods for improving drug efficacy including a combination of drug administration and nerve modulation
DE102015112057A1 (en) * 2015-07-23 2017-01-26 Möller Medical Gmbh Apparatus for introducing a stent into a body vessel
US9592086B2 (en) 2012-07-24 2017-03-14 Boston Scientific Scimed, Inc. Electrodes for tissue treatment
US9770293B2 (en) 2012-06-04 2017-09-26 Boston Scientific Scimed, Inc. Systems and methods for treating tissue of a passageway within a body
US9931163B2 (en) 2015-04-24 2018-04-03 Boston Scientific Scimed, Inc. Energy delivery devices

Cited By (70)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3131694A (en) * 1960-12-29 1964-05-05 May L Chester Catheters
US3087492A (en) * 1960-12-29 1963-04-30 May L Chester Valved catheters
US3504662A (en) * 1967-05-16 1970-04-07 Avco Corp Intra-arterial blood pump
US3726273A (en) * 1971-07-21 1973-04-10 N Cole Muscle exercising device
US3720200A (en) * 1971-10-28 1973-03-13 Avco Corp Intra-arterial blood pump
US3924628A (en) * 1972-12-01 1975-12-09 William Droegemueller Cyrogenic bladder for necrosing tissue cells
US4083369A (en) * 1976-07-02 1978-04-11 Manfred Sinnreich Surgical instruments
US4167938A (en) * 1976-09-28 1979-09-18 Harry Remih Exerciser for vaginal muscles
US5062425A (en) * 1987-06-26 1991-11-05 Tucker Annabelle D Expansible internal pressure cold packs and perineal ice pad
US5191883A (en) * 1988-10-28 1993-03-09 Prutech Research And Development Partnership Ii Device for heating tissue in a patient's body
US5496311A (en) * 1988-10-28 1996-03-05 Boston Scientific Corporation Physiologic low stress angioplasty
US5368591A (en) * 1988-10-28 1994-11-29 Prutech Research And Development Partnership Ii Heated balloon catheters
US4955377A (en) * 1988-10-28 1990-09-11 Lennox Charles D Device and method for heating tissue in a patient's body
WO1991003207A1 (en) * 1989-09-08 1991-03-21 Boston Scientific Corporation Physiologic low stress angioplasty
USRE37704E1 (en) 1990-03-22 2002-05-14 Argomed Ltd. Thermal treatment apparatus
US5103804A (en) * 1990-07-03 1992-04-14 Boston Scientific Corporation Expandable tip hemostatic probes and the like
US8640711B2 (en) 1997-04-07 2014-02-04 Asthmatx, Inc. Method for treating an asthma attack
US9027564B2 (en) 1997-04-07 2015-05-12 Asthmatx, Inc. Method for treating a lung
US8267094B2 (en) 1997-04-07 2012-09-18 Asthmatx, Inc. Modification of airways by application of ultrasound energy
US7938123B2 (en) 1997-04-07 2011-05-10 Asthmatx, Inc. Modification of airways by application of cryo energy
US8161978B2 (en) 1997-04-07 2012-04-24 Asthmatx, Inc. Methods for treating asthma by damaging nerve tissue
US8944071B2 (en) 1997-04-07 2015-02-03 Asthmatx, Inc. Method for treating an asthma attack
US8584681B2 (en) 1998-01-07 2013-11-19 Asthmatx, Inc. Method for treating an asthma attack
US9789331B2 (en) 1998-01-07 2017-10-17 Boston Scientific Scimed, Inc. Methods of treating a lung
US7921855B2 (en) 1998-01-07 2011-04-12 Asthmatx, Inc. Method for treating an asthma attack
US8534291B2 (en) 1998-06-10 2013-09-17 Asthmatx, Inc. Methods of treating inflammation in airways
US8733367B2 (en) 1998-06-10 2014-05-27 Asthmatx, Inc. Methods of treating inflammation in airways
US8181656B2 (en) 1998-06-10 2012-05-22 Asthmatx, Inc. Methods for treating airways
US7992572B2 (en) 1998-06-10 2011-08-09 Asthmatx, Inc. Methods of evaluating individuals having reversible obstructive pulmonary disease
US8464723B2 (en) 1998-06-10 2013-06-18 Asthmatx, Inc. Methods of evaluating individuals having reversible obstructive pulmonary disease
US8443810B2 (en) 1998-06-10 2013-05-21 Asthmatx, Inc. Methods of reducing mucus in airways
US9358024B2 (en) 2000-03-27 2016-06-07 Asthmatx, Inc. Methods for treating airways
US8459268B2 (en) 2000-03-27 2013-06-11 Asthmatx, Inc. Methods for treating airways
US8251070B2 (en) 2000-03-27 2012-08-28 Asthmatx, Inc. Methods for treating airways
US8888769B2 (en) 2000-10-17 2014-11-18 Asthmatx, Inc. Control system and process for application of energy to airway walls and other mediums
US8465486B2 (en) 2000-10-17 2013-06-18 Asthmatx, Inc. Modification of airways by application of energy
US7837679B2 (en) 2000-10-17 2010-11-23 Asthmatx, Inc. Control system and process for application of energy to airway walls and other mediums
US9033976B2 (en) 2000-10-17 2015-05-19 Asthmatx, Inc. Modification of airways by application of energy
US8257413B2 (en) 2000-10-17 2012-09-04 Asthmatx, Inc. Modification of airways by application of energy
US7854734B2 (en) 2000-10-17 2010-12-21 Asthmatx, Inc. Control system and process for application of energy to airway walls and other mediums
US9339618B2 (en) 2003-05-13 2016-05-17 Holaira, Inc. Method and apparatus for controlling narrowing of at least one airway
US9125643B2 (en) 2008-02-15 2015-09-08 Holaira, Inc. System and method for bronchial dilation
US8731672B2 (en) 2008-02-15 2014-05-20 Holaira, Inc. System and method for bronchial dilation
US8489192B1 (en) 2008-02-15 2013-07-16 Holaira, Inc. System and method for bronchial dilation
US8483831B1 (en) 2008-02-15 2013-07-09 Holaira, Inc. System and method for bronchial dilation
US8821489B2 (en) 2008-05-09 2014-09-02 Holaira, Inc. Systems, assemblies, and methods for treating a bronchial tree
US8961508B2 (en) 2008-05-09 2015-02-24 Holaira, Inc. Systems, assemblies, and methods for treating a bronchial tree
US8961507B2 (en) 2008-05-09 2015-02-24 Holaira, Inc. Systems, assemblies, and methods for treating a bronchial tree
US8808280B2 (en) 2008-05-09 2014-08-19 Holaira, Inc. Systems, assemblies, and methods for treating a bronchial tree
US9668809B2 (en) 2008-05-09 2017-06-06 Holaira, Inc. Systems, assemblies, and methods for treating a bronchial tree
US9005195B2 (en) 2009-10-27 2015-04-14 Holaira, Inc. Delivery devices with coolable energy emitting assemblies
US9017324B2 (en) 2009-10-27 2015-04-28 Holaira, Inc. Delivery devices with coolable energy emitting assemblies
US9675412B2 (en) 2009-10-27 2017-06-13 Holaira, Inc. Delivery devices with coolable energy emitting assemblies
US8777943B2 (en) 2009-10-27 2014-07-15 Holaira, Inc. Delivery devices with coolable energy emitting assemblies
US9649153B2 (en) 2009-10-27 2017-05-16 Holaira, Inc. Delivery devices with coolable energy emitting assemblies
US8740895B2 (en) 2009-10-27 2014-06-03 Holaira, Inc. Delivery devices with coolable energy emitting assemblies
US8932289B2 (en) 2009-10-27 2015-01-13 Holaira, Inc. Delivery devices with coolable energy emitting assemblies
US9649154B2 (en) 2009-11-11 2017-05-16 Holaira, Inc. Non-invasive and minimally invasive denervation methods and systems for performing the same
US8911439B2 (en) 2009-11-11 2014-12-16 Holaira, Inc. Non-invasive and minimally invasive denervation methods and systems for performing the same
US9149328B2 (en) 2009-11-11 2015-10-06 Holaira, Inc. Systems, apparatuses, and methods for treating tissue and controlling stenosis
US20130023970A1 (en) * 2010-03-28 2013-01-24 Kimberly Cull Treating Medical Conditions in Body Cavities
US9770293B2 (en) 2012-06-04 2017-09-26 Boston Scientific Scimed, Inc. Systems and methods for treating tissue of a passageway within a body
US9592086B2 (en) 2012-07-24 2017-03-14 Boston Scientific Scimed, Inc. Electrodes for tissue treatment
US9272132B2 (en) 2012-11-02 2016-03-01 Boston Scientific Scimed, Inc. Medical device for treating airways and related methods of use
US9572619B2 (en) 2012-11-02 2017-02-21 Boston Scientific Scimed, Inc. Medical device for treating airways and related methods of use
US9283374B2 (en) 2012-11-05 2016-03-15 Boston Scientific Scimed, Inc. Devices and methods for delivering energy to body lumens
US9398933B2 (en) 2012-12-27 2016-07-26 Holaira, Inc. Methods for improving drug efficacy including a combination of drug administration and nerve modulation
US9931162B2 (en) 2015-01-21 2018-04-03 Nuvaira, Inc. Delivery devices with coolable energy emitting assemblies
US9931163B2 (en) 2015-04-24 2018-04-03 Boston Scientific Scimed, Inc. Energy delivery devices
DE102015112057A1 (en) * 2015-07-23 2017-01-26 Möller Medical Gmbh Apparatus for introducing a stent into a body vessel

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