Nasal packing device

• US 5,139,510 A
• Filed: 02/22/1991
• Issued: 08/18/1992
• Est. Priority Date: 02/22/1991
• Status: Expired due to Term

• Current Assignee: Xomed Surgical Products, Inc. (Medtronic Plc)
• Original Assignee: Xomed-Treace, Inc.
• Inventors: Goldsmith, Manning M. III, Robertson, George C.
• Primary Examiner(s): Rosenbaum, C. Fred
• Assistant Examiner(s): MENDEZ, MANUEL A
• Application Number:
  US07/659,012
• Time in Patent Office: 543 Days
• Field of Search: 606/191-196, 604/93-97, 604/99, 604/101, 604/104, 604/106, 128/656-658, 128/207.18, 128/207.15, 128/DIG. 20
• US Class Current: 606/196
• CPC Class Codes: A61B 17/12104 in an air passage
• CPC Class Codes: A61B 17/12136 Balloons
• 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: A61M 2025/1097 with perfusion means for enabling blood circulation only while the balloon is in an inflated state, e.g. temporary by-pass within balloon

Abstract

The nasal packing device includes a splint portion, an airway member secured to the splint portion and a flexible expandable membrane secured to the airway member. An inflation chamber is thus defined between the flexible expandable membrane and the airway member. Under this arrangement, expansion of the membrane is in a direction away from the airway member enabling the membrane to provide a substantially uniform pressure against the splint portion and against any portions of the nose which the membrane comes into contact with. A uniform compressive force provided by the expandable membrane is thus attainable within the nasal passageway to arrest intranasal bleeding, while the splint supports the septum and the airway member allows nasal breathing.

Claims

1. A nasal packing device comprising

a. a flexible non-expandable splint portion,

b. an air flow member joined to said flexible splint portion, said air flow member having a peripheral surface,

c. an inflatable member comprising a flexible expandable membrane joined to the peripheral surface of said airflow member such that an inflation chamber is defined between the peripheral surface of said air flow member and said membrane said inflation chamber having a predetermined inflated condition and an uninflated condition with predetermined portions of said inflatable member being spaced from said splint portion when said inflation chamber is in said uninflated condition, and said predetermined portions of said inflatable member being expandable against said split when said inflation chamber is in said pre-determined inflated condition, and,

d. means for directing fluid into said inflation chamber to inflate said inflation chamber.

2. A nasal packing device as claimed in claim 1 wherein said membrane is joined to the peripheral surface at selected peripheral portions of said air flow member such that said flexible membrane is expandable away from said air flow member.

3. A nasal packing device as claimed in claim 1 wherein said air flow member, in lateral cross section, is substantially circular.

4. A nasal packing device as claimed in claim 1 wherein said air flow member, in lateral cross section, is substantially C-shaped.

5. A nasal packing device as claimed in claim 1 wherein said membrane includes a portion further joined to said splint.

6. A nasal packing device as claimed in claim 1 wherein said air flow member has a proximal end portion and a distal end portion, said proximal and distal end portions being open such that an airway is defined in said air flow member from said proximal end portion to said distal end portion.

7. A nasal packing device as claimed in claim 6 wherein said means for directing fluid said inflation chamber include an inflation lumen noncommunicable with said airway.

8. A nasal packing device as claimed in claim 7 wherein said air flow member includes a wall portion and said inflation lumen is formed in said wall portion.

9. A nasal packing device as claimed in claim 1 wherein said means for directing fluid in said inflation chamber include means for inflating and deflating said chamber.

10. A nasal packing device as claimed in claim 9 wherein said inflation means include normally closed valve means for controlling the flow of fluid into or out of said inflation chamber.

11. A nasal packing device comprising

a. a flexible non-expandable flap member having an obverse surface and a reverse surface,

b. an elongated air flow member joined to the obverse surface of said flap member, said air flow member having a peripheral surface and opposite open end portions whereby an airway passage is defined and extends to said opposite open end portions,

c. a flexible expandable membrane joined to the peripheral surface of said air flow member between said opposite open end portions such that an inflation chamber is defined between the peripheral surface of said air flow member and said membrane, and,

d. means for inflating said inflation chamber such that said inflation chamber is expandable substantially around said air flow member.

12. A nasal packing device as claimed in claim 11 wherein said air flow member, in lateral cross section, is substantially circular.

13. A nasal packing device as claimed in claim 11 wherein said air flow member, in lateral cross section, is substantially C-shaped.

14. A nasal packing device as claimed in claim 11 wherein said membrane includes a portion further joined to the obverse surface of said flap member.

15. A nasal packing device as claimed in claim 11 wherein means for directing fluid in said inflation chamber include an inflation lumen noncommunicable with said airway passage.

16. A nasal packing device as claimed in claim 15 wherein said air flow member includes a wall portion and said inflation lumen is formed in said wall portion.

17. A nasal packing device as claimed in claim 11 wherein said inflation means include normally closed valve means for controlling the flow of fluid into or out of said inflation chamber.

18. A method of packing a nasal passageway comprising

a. forming a nasal splint for the septal portion of the nose from a flexible non-expandable flap,

b. joining an air flow member having opposite open ends and a peripheral surface to an obverse surface of the splint such that an airway passage in the air flow member extends longitudinally of the splint from one of the opposite open ends of the air flow member to the other opposite open end,

c. securing a flexible expandable membrane to the peripheral surface of the air flow member to define an inflatable chamber between the air flow member and the membrane,

d. providing the inflation chamber with means for directing fluid into and out of the inflation chamber to render such chamber expandable and deflatable as desired whereby the splint, the air flow member and the membrane are insertable in the nasal passageway and inflation of the inflation chamber provides a compressive force against the inner nasal wall and the splint.

19. The method of claim 18 wherein the step of providing the inflation chamber with means for directing fluid into and out of the inflation chamber includes forming an inflation lumen in a wall of the airway passage such that the inflation lumen is noncommunicable with the airway passage and communicable only with the inflation chamber.

20. The method of claim 18 including providing a normally closed control valve to communicate with the inflation lumen such that when the valve is in its closed position fluid can neither pass into or out of the chamber and when the valve is in its open position fluid can pass into and out of the inflation chamber