Guide system with suction

• US 10,524,814 B2
• Filed: 05/26/2016
• Issued: 01/07/2020
• Est. Priority Date: 03/20/2009
• Status: Active Grant

• Current Assignee: Acclarent Incorporated (Johnson & Johnson)
• Original Assignee: Acclarent Incorporated (Johnson & Johnson)
• Inventors: Chang, John Y., Goldfarb, Eric, Loh, Serena Swei, Pader, Mei Y., Gottesman, Michael J., Newhauser, Jr., Richard R.
• Primary Examiner(s): Hollm, Jonathan A
• Application Number:
  US15/165,209
• Publication Number:
  US 20160324535A1
• Time in Patent Office: 1,321 Days
• CPC Class Codes: A61B 1/267 for the respiratory tract, e.g. laryngoscopes, bronchoscopes
• CPC Class Codes: A61B 17/24 for use in the oral cavity, larynx, bronchial passages or nose for medical inspection of cavities or tubes in the body A61B1/00; Tongue scrapers
• CPC Class Codes: A61B 17/3415 for introducing tubes or catheters, e.g. gastrostomy tubes, drain catheters A61B17/3417 takes precedence; body piercing catheter guide needles A61M25/06
• CPC Class Codes: A61B 17/3421 Cannulas
• CPC Class Codes: A61B 17/3478 Endoscopic needles, e.g. for infusion biopsy needles A61B10/0233; catheters with injection needles A61M25/0067
• CPC Class Codes: A61B 2017/00738 part of the tool being offset with respect to a main axis, e.g. for better view for the surgeon
• CPC Class Codes: A61B 2017/246 for cleaning of the nose
• CPC Class Codes: A61B 2017/345 for introduction into a natural body opening
• CPC Class Codes: A61B 2017/346 with wings
• CPC Class Codes: A61B 2217/005 with suction drainage system
• CPC Class Codes: A61M 2210/0681 Sinus (maxillaris)
• CPC Class Codes: A61M 25/0041 pre-formed, e.g. specially adapted to fit with the anatomy of body channels urethral catheters A61F2/04
• CPC Class Codes: A61M 25/0054 with regions for increasing flexibility
• CPC Class Codes: A61M 25/0068 Static characteristics of the catheter tip, e.g. shape, atraumatic tip, curved tip or tip structure
• CPC Class Codes: A61M 25/0074 Dynamic characteristics of the catheter tip, e.g. openable, closable, expandable or deformable
• CPC Class Codes: A61M 25/008 Strength or flexibility characteristics of the catheter tip
• CPC Class Codes: A61M 25/0082 Catheter tip comprising a tool
• CPC Class Codes: A61M 25/0097 characterised by the hub connectors A61M39/10
• CPC Class Codes: A61M 25/0662 Guide tubes
• CPC Class Codes: A61M 25/09 Guide wires
• CPC Class Codes: A61M 29/02 : Dilators made of swellable material balloon catheters for angioplasty A61M25/104

Abstract

A guide catheter for use in treating sinuses, the catheter including a catheter shaft configured to provide suction about a balloon catheter and a distal portion shaped for navigating body anatomy. In one embodiment, the guide catheter includes a valve for sealing the balloon catheter and a vent for controlling suction.

Claims

1. A method for advancing a flexible device into a paranasal sinus, the method comprising:

(a) inserting a guide catheter into a head of a patient, wherein the flexible device is either preloaded into the guide catheter or advanced into the guide catheter during or after insertion of the guide catheter into the patient'"'"'s head;

(b) generating a suction force proximally through the guide catheter, around the flexible device, and within the head of the patient, via a suction source attached to the guide catheter, wherein the step of generating the suction force is performed while the guide catheter is being advanced into the head of the patient; and

(c) advancing the flexible device out of a distal end of the guide catheter into the paranasal sinus.

2. The method of claim 1, wherein the flexible device comprises a balloon dilation catheter.

3. The method of claim 2, further comprising performing a balloon dilation procedure using the balloon catheter to dilate an opening of the paranasal sinus.

4. The method of claim 3, wherein dilating the opening comprises dilating a natural ostium of the paranasal sinus.

5. The method of claim 3, further comprising creating an artificial opening into the paranasal sinus, wherein dilating the opening comprises dilating at least one of the artificial opening or a natural ostium of the paranasal sinus.

6. The method of claim 2, wherein the flexible device further comprises a guidewire, and wherein the method further comprises advancing the guidewire out of the distal end of the guide catheter into the paranasal sinus before the balloon catheter is advanced, wherein the balloon catheter is advanced over the guidewire.

7. The method of claim 1, wherein a distal portion of the guide catheter is flexible, the method further comprising advancing the flexible device through the distal portion thereby expanding the distal portion.

8. The method of claim 1, wherein the guide catheter includes a hub assembly including a proximal end portion, the method further comprising attaching an auxiliary device to the hub assembly.

9. The method of claim 8, wherein the hub assembly further includes a suction port fluidly connected to the suction source and a collapsible sealing member positioned proximally relative to the suction port such that the flexible device extends through the collapsible sealing member, wherein the method further comprises collapsing the sealing member in order to form a seal about the flexible device.

10. The method of claim 1, wherein the flexible device further comprises a balloon dilation catheter, wherein the method further comprises advancing a balloon of the balloon dilation catheter into a first portion of the guide catheter such that the balloon dilation catheter forms an interference fit with the first portion of the guide catheter in order to prevent suction via the suction force through the guide catheter and to the head of the patient.

11. The method of claim 10, wherein the guide catheter includes a lumen extending therethrough and is configured to allow for passage of the balloon dilation catheter therealong, wherein the lumen includes the first portion having a first diameter, a second portion having a second diameter, wherein the second diameter is greater than the first diameter, and wherein advancing the balloon further includes positioning the balloon from the second portion to the first portion so as to prevent suction via the suction force through the guide catheter and to the head of the patient.

12. The method of claim 1, further comprising suctioning debris from the head of the patient.

13. The method of claim 1, wherein the distal end of the guide catheter includes a wing extending radially therefrom, and the method further comprises teasing a sinus tissue with the wing in order to open a pathway in which to introduce the guide catheter.

14. The method of claim 13, wherein the sinus tissue is an uncinate process and teasing the uncinate process further includes positioning the distal end of the guide catheter behind the uncinate process in order to open the pathway to the maxillary sinus ostium.

15. The method of claim 1, wherein the flexible device further comprises an illuminating guidewire, and wherein the method further comprises advancing the guidewire out of the distal end of the guide catheter in order to transilluminate the paranasal sinus.

16. A method for advancing a flexible device into a paranasal sinus, wherein the flexible device includes a balloon dilation catheter and a guidewire, the method comprising:

(a) inserting a guide catheter into a head of a patient, wherein the flexible device is either preloaded into the guide catheter or advanced into the guide catheter during or after insertion of the guide catheter into the patient'"'"'s head;

(b) generating a suction force proximally through the guide catheter, around the flexible device, and within the head of the patient, via a suction source attached to the guide catheter, wherein the step of generating the suction force is performed while the guide catheter is being advanced into the head of the patient;

(c) suctioning debris from the head of the patient;

(d) advancing the guidewire out of a distal end of the guide catheter into the paranasal sinus before the balloon dilation catheter is advanced;

(e) advancing the balloon dilation catheter out of a distal end of the guide catheter into the paranasal sinus;

(f) expanding a balloon of the balloon dilation catheter to an expanded state in order to prevent suction via the suction force through the guide catheter and to the head of the patient; and

(g) dilating an opening of the paranasal sinus with the balloon dilation catheter.

17. The method of claim 16, wherein the distal end of the guide catheter includes a terminal end with a wing extending radially therefrom, wherein the method further comprises teasing a sinus tissue with the wing in order to open a pathway in which to introduce the guide catheter.

18. The method of claim 17, wherein the sinus tissue is an uncinate process and teasing the uncinate process further includes positioning the distal end behind the uncinate process in order to open the pathway to the maxillary sinus ostium.

19. The method of claim 16, wherein the flexible device further comprises an illuminating guidewire, and wherein the method further comprises advancing the guidewire out of the distal end of the guide catheter in order to transilluminate the paranasal sinus.

20. A method for advancing a flexible device into a paranasal sinus, wherein the flexible device includes a balloon dilation catheter, the method comprising:

(a) inserting a guide catheter into a head of a patient, wherein the flexible device is either preloaded into the guide catheter or advanced into the guide catheter during or after insertion of the guide catheter into the patient'"'"'s head;

(b) generating a suction force proximally through the guide catheter, around the flexible device, and within the head of the patient, via a suction source attached to the guide catheter, wherein the step of generating the suction force is performed while the guide catheter is being advanced into the head of the patient;

(c) opening a pathway to a maxillary sinus ostium behind an uncinate process with a distal end of the guide catheter;

(d) introducing the guide catheter along the pathway to the maxillary sinus ostium;

(e) advancing the flexible device out of a distal end of the guide catheter into the paranasal sinus toward the maxillary sinus ostium; and

(f) dilating the maxillary sinus ostium with the balloon dilation catheter.