Paranasal ostium finder devices and methods

• US 8,979,888 B2
• Filed: 07/30/2009
• Issued: 03/17/2015
• Est. Priority Date: 07/30/2008
• Status: Active Grant

• Current Assignee: Acclarent Incorporated (Johnson & Johnson)
• Original Assignee: Acclarent Incorporated (Johnson & Johnson)
• Inventors: Morriss, John H., Makower, Joshua, Fernandez, Carlos F., Goldfarb, Eric, Jenkins, Thomas
• Primary Examiner(s): Nguyen, Victor
• Application Number:
  US12/512,420
• Publication Number:
  US 20100030113A1
• Time in Patent Office: 2,056 Days
• Field of Search: 606/190, 606/194, 606/198, 606/199, 606/196, 604/104, 604/500, 604/509
• US Class Current: 606/196
• CPC Class Codes: A61B 1/233 for the nose, i.e. nasoscopes , e.g. testing of patency of Eustachian tubes
• 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 2017/22042 Details of the tip of the guide wire
• CPC Class Codes: A61B 2017/22051 with an inflatable part, e.g. balloon, for positioning, blocking, or immobilisation A61B2017/22048, A61B2017/3486 take precedence
• CPC Class Codes: A61B 2017/320048 Balloon dissectors
• CPC Class Codes: A61M 2029/025 characterised by the guiding element
• CPC Class Codes: A61M 25/1002 characterised by balloon shape A61M25/1006, A61M25/1009 take precedence
• CPC Class Codes: A61M 29/00 Dilators with or without means for introducing media, e.g. remedies instruments for performing visual medical inspections of cavities or tubes of the body A61B1/00

Abstract

Devices and methods for locating sinus ostia and positioning a guide wire within the sinus ostia. The subject devices include a shaft having a distal end, a proximal end, a curved region located between the distal and proximal ends, and an interior channel, an extensible and retractable guide wire movably mounted within the interior channel and a probe tip joined to the guide wire. Certain devices further include expandable portions for engaging and treating body anatomy.

Claims

1. A device for locating and dilating a natural ostium of a maxillary sinus, the device comprising;

(a) an elongate shaft assembly, comprising;

(i) a substantially rigid straight proximal portion,

(ii) a curved distal portion extending from a distal end of the straight proximal portion,

(iii) an atraumatic distal tip at the end of the curved distal portion, wherein the curved distal portion has a size and shape to allow passage of the distal portion into a nasal cavity to position the atraumatic distal tip within or near a maxillary sinus ostium, and

(iv) an inflation lumen passing through at least part of the shaft assembly; and

(b) at least one expandable dilator coupled with the shaft assembly, wherein the expandable dilator extends from the distal end of the straight proximal portion to a distal end of the curved distal portion and encompasses the curved distal portion therebetween, wherein the expandable dilator is in fluid communication with the inflation lumen;

wherein the atraumatic distal tip comprises a ball-shaped tip for enhancing tactile feedback.

2. The device as in claim 1, wherein the expandable dilator comprises an inflatable balloon.

3. The device as in claim 2, wherein at least a portion of the balloon is disposed proximal to a curve in the distal portion of the shaft assembly.

4. The device as in claim 3, wherein the balloon extends from proximal to the curve to distal to the curve along the shaft assembly.

5. The device as in claim 2, wherein the dilator comprises two balloons, one disposed proximal to a curve of the distal portion of the shaft assembly and another disposed distal to the curve.

6. The device as in claim 2, wherein the balloon expends asymmetrically outward away from an inner radius of curvature of the curved distal portion of the shaft assembly.

7. The device as in claim 1, further comprising a handle including an actuator, wherein the dilator is advanceable and retractable along the shaft assembly using the actuator.

8. A device for locating and dilating a natural ostium of a maxillary sinus, the device comprising;

(a) an elongate shaft assembly, comprising;

(i) a substantially rigid straight proximal portion,

(ii) a curved distal portion extending from a distal end of the straight proximal portion,

(iii) an atraumatic distal tip at the end of the curved distal portion, wherein the curved distal portion has a size and shape to allow passage of the distal portion into a nasal cavity to position the distal tip within or near a dilation site in the nasal cavity, and

(iv) an inflation lumen passing through at least part of the shaft assembly; and

(b) at least one expandable dilator coupled with the shaft assembly, wherein the expandable dilator extends from the distal end of the straight proximal portion and encompasses the curved distal portion, wherein the expandable dilator is in fluid communication with the inflation lumen;

wherein the atraumatic distal tip comprises a ball-shaped tip for enhancing tactile feedback.

9. The device as in claim 8, wherein the expandable dilator extends about the distal tip.

10. A device for locating and dilating a natural ostium of a maxillary sinus, the device comprising;

(a) an elongate shaft assembly, comprising;

(i) a substantially rigid straight proximal portion,

(ii) a curved distal portion, wherein the curved distal portion has a size and shape to allow passage of the distal portion into a nasal cavity, and an atraumatic distal tip at the end of the curved distal portion;

(iii) an inflation lumen passing through at least part of the shaft assembly; and

(b) at least one expandable dilator coupled with the shaft assembly, wherein a portion of the expandable dilator is expandable, wherein the expandable dilator encompasses at least part of the curved distal portion and a portion of the straight proximal portion, wherein the expandable dilator is in fluid communication with the inflation lumen;

wherein the atraumatic distal tip comprises a ball-shaped tip for enhancing tactile feedback.

11. The device as in claim 10, wherein the expandable portion of the expandable dilator extends about the curved distal portion of the shaft assembly.