Dilation device and method of use
The disclosure provides for a device and method for dilation. The dilation device may include a catheter body having a proximal portion and a distal portion, a dilation expandable body in fluid communication with a first opening on the distal portion of the catheter body, and an occlusion anchor expandable body in fluid communication with a second opening on the distal portion of the catheter body. The method for dilating a stricture site may include inserting the dilation device into a stricture site of a patient, expanding the occlusion anchor expandable body at the stricture site, and expanding the dilation expandable body at the stricture site.
1. A dilation device, comprising:
a gastrointestinal endoscope comprising a working channel;
a catheter body configured to fit in the working channel of the endoscope, the catheter body comprising a proximal portion and a distal portion, the catheter body having at least two lumina;
two expandable bodies consisting of:
a dilation expandable body in fluid communication with a first opening on the distal portion of the catheter body; and
an occlusion anchor expandable body in fluid communication with a second opening on the distal portion of the catheter body such that the dilation expandable body and occlusion anchor expandable body are separately expandable,
wherein the dilation expandable body and occlusion anchor expandable body are configured to be in a nonexpanded state within the working channel of the endoscope,
wherein the occlusion anchor expandable body comprises a distal bulb a proximal bulb, and a body portion extending between the distal bulb and the proximal bulb, the distal bulb configured to expand distal to a stricture site and the proximal bulb configured to expand proximal to the stricture site, wherein, when the distal bulb and the proximal bulb are fully inflated, the distal bulb diameter and the proximal bulb diameter are each greater than a diameter of the body portion of the occlusion anchor expandable body, and a fully-inflated distal bulb and a fully-inflated proximal bulb are configured to anchor the occlusion anchor expandable body in the stricture site,
wherein the dilation expandable body is operable to expand within the body portion of the occlusion anchor expandable body to dilate the stricture site between the distal bulb and the proximal bulb of the occlusion anchor expandable body, and
wherein the occlusion anchor expandable body surrounds the dilation expandable body such that the dilation expandable body is inside the occlusion anchor expandable body.
2. The dilation device of claim 1 , further comprising a manifold with at least two ports connected to the proximal portion of the catheter body, each in fluid communication with at least one of the lumina of the catheter body.
3. The dilation device of claim 1 , wherein the dilation expandable body expands to a diameter of at least 3 mm to at least 5 mm.
4. The dilation device of claim 1 , wherein the dilation expandable body expands to a diameter of 0.5 mm to 25 mm.
5. The dilation device of claim 1 , wherein the occlusion anchor expandable body expands to a diameter of 0.5 mm to 25 mm.
6. The dilation device of claim 1 , wherein the dilation expandable body is between 0.5 cm and 5 cm in length.
7. The dilation device of claim 1 , wherein the length of each bulb is 1 cm or less.
8. The dilation device of claim 1 , wherein the dilation expandable body has a net treatment length of 1 cm to 4 cm.
9. The dilation device of claim 1 , wherein the occlusion anchor expandable body is operable to reduce migration of the dilation expandable body at the distal end of the stricture site when expanded in the stricture site.
10. The dilation device of claim 1 , wherein the dilation device is operable to eliminate migration of the dilation expandable body when expanded.
11. The dilation device of claim 1 , wherein the dilation expandable body, when expanded, extends no more than 1 cm beyond the stricture site in either the proximal or distal direction.
12. A method of dilating a stricture site in a patient, comprising:
inserting the dilation device of claim 1 into a patient;
expanding the occlusion anchor expandable body; and
expanding the dilation expandable body at the stricture site.
13. The method of claim 12 , further comprising inserting the dilation device through a working channel of an endoscope.
14. The method of claim 12 , wherein the dilation expandable body is expanded using fluid or air delivered from a lumen of the catheter body and the occlusion anchor expandable body is expanded using a fluid or air delivered from a separate lumen of the catheter body.
15. The method of claim 12 , wherein the dilation expandable body expands to a diameter of 0.5 mm to 25 mm and the occlusion anchor expandable body expands to a diameter of 0.5 mm to 25 mm.
16. The method of claim 12 , further comprising deflating the dilation expandable body and the occlusion anchor expandable body.
17. The dilation device of claim 1 , wherein the occlusion anchor expandable body includes at least one radiopaque marker.
18. The dilation device of claim 17 , wherein the at least one radiopaque marker includes a plurality of radiopaque markers spaced apart from one another such that when the occlusion anchor expandable body is expanded, a distance between individual ones of the plurality of radiopaque markers increases.
19. The dilation device of claim 1 , wherein a distal pronounced lip is formed at the distal portion of the catheter body when the distal bulb is expanded distal to the stricture site.
20. The dilation device of claim 1 , wherein a proximal pronounced lip is formed at the proximal portion of the catheter body when the proximal bulb is expanded proximal to the stricture site.
21. The dilation device of claim 1 , wherein the length of each bulb is 2 cm or less.