Balloon catheter inflation apparatus and methods
An inflation device includes a syringe body containing a bore. The bore holds a fluid that is used to inflate a separate device such as a dilation balloon. A plunger assembly slides within the syringe bore and contains a sealing member that forms a fluid tight seal with the syringe body. A shut-off valve is disposed within the distal end of the syringe body. The distal end of the syringe body has a fluid bypass channel fluidically coupled to the aperture of a connector. The shut-off valve has a spring-biased moveable piston with a bypass lumen contained therein, wherein the bypass lumen forms a fluid path between the bore and the fluid bypass channel when the pressure of the fluid is below a threshold value. The fluid path between the bore and the fluid bypass channel is interrupted when the pressure of the fluid is above the threshold value.
1. An inflation device comprising:
a syringe body having proximal end and a distal end and a bore contained therein, the bore configured to hold a fluid therein, the distal end of the syringe body terminating in a valve body, the valve body comprising a valve space located at a proximal end of the valve body that communicates with the bore of the syringe body;
a connector located at a distal end of the inflation device and including an aperture that fluidically communicates with the valve space via an outlet channel located external to the valve body and communicating with the valve space via an aperture disposed in the valve body;
a plunger assembly comprising a shaft having a proximal end and a distal end, the proximal end of the shaft operatively coupled to an actuator, the distal end of the plunger assembly comprising a sealing member configured to form a fluid tight seal with the syringe body;
a shut-off valve disposed within the valve body and comprising a spring-biased moveable piston having a bypass lumen contained therein and a plurality of sealing elements disposed on the movable piston, wherein the bypass lumen forms a fluid path between the valve space and the outlet channel when a pressure of the fluid in the bore of the syringe body is below a threshold value and wherein the fluid path between the valve space and the outlet channel is interrupted when the pressure of the fluid is above the threshold value; and
one or more pressure indicators disposed on the syringe body, wherein the plurality of sealing elements are observable through the syringe body.
2. The inflation device of claim 1 , wherein the plurality of sealing elements comprise a proximal sealing element, an intermediate sealing element, and a distal sealing element, and wherein the bypass lumen exits the moveable piston at a location between the distal sealing element and the intermediate sealing element.
3. The inflation device of claim 2 , wherein the proximal sealing element, the intermediate sealing element, and the distal sealing element comprise o-rings.
4. The inflation device of claim 1 , wherein the connector comprises a Luer connector.
5. The inflation device of claim 1 , wherein the shaft comprises a plurality of detents disposed along a length of the shaft and the syringe body comprises a projection configured to engage with the plurality of detents.
6. The inflation device of claim 5 , wherein the plurality of detents comprise a proximal detent, an intermediate detent, and a distal detent.
7. The inflation device of claim 1 , further comprising a compression spring mounted in the valve body, wherein a distal end of the compression spring is fixed to a distal end of the valve body and a proximal end of the compression spring interfaces with the moveable piston.
8. The inflation device of claim 1 , the syringe body further comprising a proximal stop disposed in the bore, the proximal stop configured to limit proximal movement of the moveable piston.
9. The inflation device of claim 1 , further comprising a pair of flanges disposed about a periphery of the syringe body, a region between the pair of flanges defining a recess dimensioned to receive one or more fingers of a user.
10. The inflation device of claim 1 wherein the actuator comprises a ring.
11. The inflation device of claim 1 , wherein the threshold value comprises about 12 atmospheres of pressure.
12. The inflation device of claim 1 , wherein one of the plurality of sealing elements aligns with the one or more pressure indicators when the threshold value is reached.
13. The inflation device of claim 12 , wherein a distal most sealing element aligns with one of the one or more pressure indicators when the threshold value is reached.
14. The inflation device of claim 1 , wherein the valve body is integrally formed with the syringe body.
15. A system for dilating a natural sinus ostium comprising:
a balloon dilation catheter comprising an elongate member having a dilation balloon at one end and a first connector at an opposing end;
an inflation device comprising:
a syringe body having proximal end and a distal end and a bore contained therein, the bore configured to hold a fluid therein, the distal end of the syringe body terminating in a valve body, the valve body comprising a valve space located at a proximal end of the valve body that communicates with the bore of the syringe body;
a connector located at a distal end of the inflation device and including an aperture that fluidically communicates with the valve space via an outlet channel located external to the valve body and communicating with the valve space via an aperture disposed in the valve body;
a plunger assembly comprising a shaft having a proximal end and a distal end, the proximal end of the shaft operatively coupled to an actuator, the distal end of the plunger assembly comprising a sealing member configured to form a fluid tight seal with the syringe body;
a shut-off valve disposed within the valve body and comprising a spring-biased moveable piston having a bypass lumen contained therein and a plurality of sealing elements disposed on the movable piston, wherein the bypass lumen forms a fluid path between the valve space and the outlet channel when a pressure of the fluid in the bore of the syringe body is below a threshold value and wherein the fluid path between the valve space and the outlet channel is interrupted when the pressure of the fluid is above the threshold value; and
one or more pressure indicators disposed on the syringe body, wherein the plurality of sealing elements are observable through the syringe body.
16. The system of claim 15 , further comprising a cannula having a first inlet configured to receive the inflation device and a second inlet configured to receive a visualization device.
17. The system of claim 16 , wherein the visualization device comprises an endoscope.
18. The inflation device of claim 16 , wherein one of the plurality of sealing elements aligns with the one or more pressure indicators when the threshold value is reached.
19. The inflation device of claim 18 , wherein a distal most sealing element aligns with one of the one or more pressure indicators when the threshold value is reached.