Methods and apparatus for treating disorders of the ear nose and throat

• US 9,814,379 B2
• Filed: 10/30/2007
• Issued: 11/14/2017
• Est. Priority Date: 04/21/2004
• Status: Active Grant

• Current Assignee: Acclarent Incorporated (Johnson & Johnson)
• Original Assignee: Acclarent Incorporated (Johnson & Johnson)
• Inventors: Makower, Joshua, Chang, John Y., Muni, Ketan P., Morriss, John H., Ha, Hung V., Kim, Isaac J., Vrany, Julia D.
• Primary Examiner(s): Sirmons, Kevin C
• Assistant Examiner(s): Hall, Deanna K
• Application Number:
  US11/929,667
• Publication Number:
  US 20080103521A1
• Time in Patent Office: 3,668 Days
• Field of Search: 604 9601, 604 9702, 604 9801
• CPC Class Codes: A61B 1/00135 Oversleeves mounted on the endoscope prior to insertion
• CPC Class Codes: A61B 1/0051 with controlled bending of insertion part
• CPC Class Codes: A61B 1/018 for receiving instruments
• CPC Class Codes: A61B 1/233 for the nose, i.e. nasoscopes , e.g. testing of patency of Eustachian tubes
• 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 17/2804 with two or more pivotal connections A61B17/29 takes precedence
• CPC Class Codes: A61B 17/282 Jaws
• CPC Class Codes: A61B 17/3421 Cannulas
• CPC Class Codes: A61B 2017/3445 used as instrument channel for multiple instruments
• CPC Class Codes: A61B 2017/3447 Linked multiple cannulas
• CPC Class Codes: A61B 2034/2051 Electromagnetic tracking systems
• CPC Class Codes: A61B 2034/2055 Optical tracking systems
• CPC Class Codes: A61B 2034/2065 Tracking using image or pattern recognition
• CPC Class Codes: A61B 2090/063 for measuring volume
• CPC Class Codes: A61B 2090/0811 for the position of a particular part of an instrument with respect to the rest of the instrument, e.g. position of the anvil of a stapling instrument
• CPC Class Codes: A61B 2090/376 using X-rays, e.g. fluoroscopy
• CPC Class Codes: A61B 2090/3941 Photoluminescent markers
• CPC Class Codes: A61B 2090/3954 magnetic, e.g. NMR or MRI
• CPC Class Codes: A61B 34/20 Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
• CPC Class Codes: A61B 90/361 : Image-producing devices, e.g. surgical cameras
• CPC Class Codes: A61B 90/50 : Supports for surgical instruments, e.g. articulated arms
• CPC Class Codes: A61M 2029/025 : characterised by the guiding element
• CPC Class Codes: A61M 2210/0681 : Sinus (maxillaris)
• CPC Class Codes: A61M 29/02 : Dilators made of swellable material balloon catheters for angioplasty A61M25/104

Abstract

Methods and apparatus for treating disorders of the ear, nose, throat or paranasal sinuses, including methods and apparatus for dilating ostia, passageways and other anatomical structures, endoscopic methods and apparatus for endoscopic visualization of structures within the ear, nose, throat or paranasal sinuses, navigation devices for use in conjunction with image guidance or navigation system and hand held devices having pistol type grips and other handpieces.

Claims

1. A device useable to dilate an anatomical structure within the ear, nose or throat of a human or animal subject, said device comprising:

a handpiece comprising a longitudinal slit formed in an exterior surface of the handpiece;

an elongate shaft that extends from the handpiece, wherein the elongate shaft has a distal end;

a dilator having a non-expanded configuration and an expanded configuration, wherein the longitudinal slit forms a structure enabling the dilator to slide along the handpiece, wherein the dilator comprises a balloon; and

a trigger apparatus that is configured to move the dilator between the non-expanded configuration and the expanded configuration;

wherein the dilator is additionally moveable from a retracted position to an advanced position, wherein the dilator is proximally positioned in relation to the distal end of the elongate shaft when the dilator is in the retracted position and wherein the dilator is distally positioned in relation to the distal end of the elongate shaft when the dilator is in the advanced position;

wherein the device further comprises an actuator associated with the longitudinal slit formed in the exterior surface of the handpiece;

wherein the actuator is moveable along the longitudinal slit to thereby move the dilator from the retracted position to the advanced position; and

wherein the balloon is inflated and deflated by a pumping apparatus and wherein the trigger apparatus is configured to cause the pumping apparatus to pump inflation fluid into or out of the balloon.

2. A device according to claim 1 wherein the pumping apparatus comprises a cylinder and plunge and wherein the trigger apparatus is usable to cause the plunger to move back and forth within the cylinder.

3. A device according to claim 1 wherein the trigger is operable by the same hand that grasps the handpiece.

4. A device according to claim 1 further comprising a guidewire, wherein the guidewire is advanceable through the shaft and the dilator.

5. A device according to claim 1 wherein the longitudinal slit provides access to the dilator so that an inflating device can be connected to the dilator.

6. A device according to claim 1 wherein the dilator is retractable to within the shaft.

7. A device according to claim 1 wherein the shaft is angled to provide access to a sinus ostium.

8. A device according to claim 1 wherein the actuator comprises a dilator trigger configured to advance and retract the dilator.

9. A device useable to dilate an anatomical structure within the ear, nose or throat of a human or animal subject, said device comprising:

a handpiece comprising an actuator and longitudinal slit, wherein the longitudinal slit is formed in an exterior surface of the handpiece;

an elongate shaft that extends from the handpiece, wherein the elongate shaft has a distal end;

a balloon catheter having a balloon operable to transition between an inflated configuration and a non-inflated configuration;

a pumping apparatus that is configured to inflate and deflate the balloon; and

a trigger apparatus configured to cause the pumping apparatus to pump inflation fluid into or out of the balloon;

wherein the longitudinal slit forms a structure enabling the balloon catheter to slide along the handpiece and to move between a retracted position and an advanced position; and

wherein the balloon catheter is proximally positioned in relation to the distal end of the elongate shaft when the balloon catheter is in the retracted position and wherein the balloon catheter is distally positioned in relation to the distal end of the elongate shaft when the balloon catheter is in the advanced position.

10. A device according to claim 9 wherein the pumping apparatus comprises a cylinder and plunger;

wherein the trigger apparatus is operable to cause the plunger to translate within the cylinder.

11. A device according to claim 9, wherein the trigger apparatus is configured and positioned to be operable by a same hand that grasps the handpiece.