A balloon catheter includes an elongated catheter shaft, a hub disposed at a proximal portion of the catheter shaft, an inflatable balloon disposed at a distal portion of the catheter shaft, and a refold tool slidingly disposed over the elongated catheter shaft and positioned between the hub and the inflatable balloon. The balloon is configured to transform between an inflated configuration and a deflated configuration, the balloon having a deflated profile when in the deflated configuration. The refold tool defines a lumen there-through that is flared at a distal end thereof, and the lumen of the tubular component of the refold tool is sized to refold the balloon to a refolded profile that is smaller than the deflated profile when the balloon in the deflated configuration passes through the refold tool.
