Nasal tampon and method for using

• US 4,883,465 A
• Filed: 05/24/1988
• Issued: 11/28/1989
• Est. Priority Date: 05/24/1988
• Status: Expired due to Term

• Current Assignee: Brennan H. George
• Original Assignee: Brennan H. George
• Inventors: Brennan, H. George
• Primary Examiner(s): Truluck, Dalton L.
• Application Number:
  US07/197,835
• Time in Patent Office: 553 Days
• Field of Search: 128/325, 128/344, 128/342, 128/207.15, 604/43-45, 604/96-103
• US Class Current: 604/96.01
• CPC Class Codes: A61F 13/2005 specially adapted for the nose cavity
• CPC Class Codes: A61M 2210/0618 Nose
• CPC Class Codes: A61M 27/00 Drainage appliance for wounds or the like , i.e. wound drains, implanted drains negative pressure wound therapy devices A61M1/90; implements for holding wound open A61B17/02 ; middle ear drainage A61F11/202

Abstract

A nasal tampon, adapted for use during a nasal surgery comprises an expansible low pressure sealing cuff, an inflation conduit, a drainage conduit, and an absorptive member. The tampon is designed to control nasal hemorrhaging without exerting direct pressure on the bleeding area. The expansible cuff conforms to the inner walls of the choanae and forming a seal therebetween so as to occlude the passageway and thereby prevent the flow of blood and other fluids down the patient'"'"'s throat.

Claims

1. An intranasal device for controlling nasal hemorrhaging without direct pressure, said device adapted for insertion into a nasal cavity during a nasal operation or other nasal procedure for (i) occluding the choanae to prevent blood and other fluids from flowing from the nose into the patient'"'"'s throat, and (ii) expelling blood, mucous and other debris from the nasal cavity, without direct suctioning of the soft surrounding tissue, said device comprising:

an elongated tubular element, having mounted thereon a blunt, tapered guiding end, adapted to facilitate manipulation of said device within the nasal cavity;

an expansible low pressure sealing cuff, contiguous with said guiding end and adapted to be inflated by a source of pressurized fluid;

an inflation conduit, having a tubular passageway, for transmitting said pressurized fluid into and out of said expansible low pressure sealing cuff, so as to inflate and deflate said cuff, respectively;

a drainage conduit, adapted to be connected to a source of suction, said drainage conduit exhibiting a plurality of influent ports which enable blood, mucous, and other liquid debris to be suctioned from the nasal cavity; and

an absorptive member, adapted to enclose said influent ports of said drainage conduit so as to prevent soft tissue present in the nasal cavity from being suctioned into said influent ports and to evenly distribute said suction over substantially the entire surface area of said absorptive member.

2. An apparatus as defined by claim 1, wherein said absorptive member comprises a surgical sponge.

3. An apparatus as defined by claim 2, wherein said surgical sponge has a proximal end and a distal end, said proximal end exhibiting a smaller cross-sectional area than said distal end so as to provide maximum absorptivity, while leaving adequate room for said surgical procedure.

4. An apparatus as defined in by claim 3, wherein said surgical sponge is sized such that at least the frontal one-third of the nasal cavity is left clear for the performance of said nasal procedure.

5. An apparatus as defined by claim 1, wherein said absorptive member is slidably mounted to said inflation and drainage conduits.

6. An apparatus as defined by claim 1, wherein said device is coated with a lubricant to prevent adherence of blood or other liquid matter to the device.

7. An apparatus as defined by claim 6, wherein said lubricant is a Zylocane gel.

8. An apparatus as defined by claim 1, further comprising a breathing conduit, said breathing conduit adapted to bypass said expansible sealing cuff, so as to allow breathing through the nostril in which the device is operatively installed.

9. An intranasal device for controlling nasal hemorrhaging without direct pressure, said device adapted for insertion into a nasal cavity during a nasal operation or other nasal procedure, said device comprising:

an elongated tubular element, having mounted thereon a blunt, tapered guiding end, adapted to facilitate manipulation of said device within the nasal cavity;

an expansible low pressure sealing cuff, contiguous with said guiding end and adapted to be inflated by a source of pneumatic fluid;

an inflation conduit, having a tubular passageway for transmitting said pneumatic fluid into and out of said expansible low pressure cuff, so as to inflate and deflate said cuff, respectively;

a drainage conduit, adapted to be connected to a source of suction, said drainage conduit exhibiting a plurality of influent ports which enable blood, mucous and other debris to be suctioned from the nasal cavity; and

an absorptive member, having a tapered configuration, exhibiting a smaller cross-sectional area at its proximal end and a larger cross-sectional area at its distal end, said tapered configuration adapted to provide maximum absorptivity within the nasal cavity, while leaving a substantial portion of the frontal nasal cavity clear for said nasal procedure, said absorptive member adapted to enclose said influent ports of said drainage conduit, so as to prevent soft tissue present in the nasal cavity from being suctioned into said influent ports and to evenly distribute said suction over substantially the entire surface area of said absorptive member.

10. An intranasal device for controlling nasal hemorrhaging within the nasal cavity, without exerting direct pressure on the area of bleeding, said device comprising:

an elongate tubular body, having a blunt tapered guiding end, said tubular body including an inflation conduit and a drainage conduit;

an expansible low pressure sealing cuff, contiguous with said guiding end and adapted to be inflated by a source of pressurized fluid such that when inflated, said cuff will form a low pressure seal with the choanae of the patient so as to occlude the passageway, said sealing cuff adapted to readily collapse around said tubular body when deflated, so as to facilitate passage through the anterior nares; and

an absorptive member, encircling said tubular body adjacent said expansible sealing cuff, said absorptive member adapted to absorb blood, mucous and other fluids present in the hemorrhaging nasal cavity, and to channel said fluids toward said drainage conduit.

11. An apparatus as defined by claim 10, wherein said drainage conduit exhibits a plurality of influent ports which are covered by said absorptive member.

12. An apparatus as defined by claim 11, wherein said drainage conduit is connected to a source of suction, so as to void the nasal cavity of said fluids accumulated in front of said expansible sealing cuff.

13. An apparatus as defined by claim 10, further comprising a breathing conduit, said breathing conduit adapted to bypass said expansible sealing cuff, so as to allow breathing through the nostril in which the device is operatively installed.