Paranasal ostium finder devices and methods

• US 10,271,719 B2
• Filed: 06/16/2017
• Issued: 04/30/2019
• 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 R.
• Primary Examiner(s): Nguyen, Victor
• Application Number:
  US15/625,013
• Publication Number:
  US 20170347869A1
• Time in Patent Office: 683 Days
• 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 comprise 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. An apparatus, comprising:

(a) an elongated shaft, wherein the elongated shaft comprises;

(i) a distal end,

(ii) a proximal end,

(iii) a curved region between the proximal and distal ends,

(iv) an elongated tubular inner sheath, and

(v) elongated tubular outer sheath, the inner sheath being positioned within the outer sheath;

(b) a handle joined to the proximal end;

(c) a longitudinal interior channel extending through the shaft and the handle;

(d) an actuator element slidably mounted within a slot on the handle; and

(e) an expandable dilator slidably disposed around a portion of an exterior of the elongate shaft;

further comprising an extensible and retractable guidewire movably mounted within the interior channel;

wherein the guide wire is reversibly movable between a retracted position and an extended position.

2. The apparatus of claim 1, further comprising a probe tip joined to an end of the guide wire, wherein the probe tip is configured to fit through a passageway in a paranasal cavity.

3. The apparatus of claim 2, wherein the probe tip is spherical.

4. The apparatus of claim 2, wherein the actuator element is mechanically coupled to the guide wire such that the guide wire is extensible and retractable according to adjustment of the actuator element relative to the handle.

5. The apparatus of claim 2, wherein the guide wire is reversibly movable between a retracted position and an extended position, wherein the probe tip is adjacent to the distal end of the elongated shaft at the retracted position, wherein the probe tip is separated from the distal end of the elongated shaft at the extended position.

6. The apparatus of claim 1, wherein the inner sheath is extensible and retractable with respect to the outer sheath.

7. The apparatus of claim 6, wherein the outer sheath includes a first slot and the inner sheath includes a second slot, wherein the first and second slots are structured and configured to allow the guide wire to be inserted into and removed from the interior channel through the first and second slots when the first and second slots are aligned with each other.

8. The apparatus of claim 1, wherein the shaft further comprises a longitudinal slot communicating with the longitudinal interior channel, wherein the longitudinal slot is structured and configured to allow the guide wire to be inserted into and removed from the interior channel through the longitudinal slot.

9. The apparatus of claim 1, wherein the shaft further comprises a front portion and a back portion joined to the front portion, the front and back portions defining a tubular shape, wherein the interior channel is located between the front and back portions.

10. The apparatus of claim 9, wherein the front portion further comprises a slot, the slot communicating with the interior channel, wherein the slot is structured and configured to allow the guide wire to be inserted into and removed from the interior channel through the slot.

11. The apparatus of claim 1, wherein the actuator element is operable to translate longitudinally relative to the handle to thereby extend and retract the guide wire.

12. The apparatus of claim 1, wherein the expandable dilator is slidably disposed about the guide wire.

13. The apparatus of claim 1, wherein the distal end of the elongated shaft is malleable.

14. An apparatus, comprising:

(a) an elongated shaft, wherein the elongated shaft comprises;

(i) a distal end,

(ii) a proximal end,

(iii) a curved region between the proximal and distal ends,

(iv) an elongated tubular inner sheath, and

(v) an elongated tubular outer sheath, wherein the inner sheath is positioned within the outer sheath, wherein the outer sheath includes a first slot and the inner sheath includes a second slot;

(b) a handle joined to the proximal end;

(c) a longitudinal interior channel extending through the shaft and the handle; and

(d) an actuator element associated with the handle;

further comprising an extensible and retractable guidewire movably mounted within the interior channel;

wherein the first and second slots are structured and configured to allow the guide wire to be inserted into and removed from the interior channel through the first and second slots when the first and second slots are aligned with each other.

15. The apparatus of claim 14, further comprising a probe tip joined to an end of the guide wire, wherein the probe tip is configured to fit through a passageway in a paranasal cavity.

16. The apparatus of claim 14, wherein the actuator element is mechanically coupled to the guide wire such that the guide wire is extensible and retractable according to adjustment of the actuator element relative to the handle.

17. An apparatus, comprising:

(a) an elongated shaft, wherein the elongated shaft comprises;

(i) a distal end,

(ii) a proximal end,

(iii) a curved region between the proximal and distal ends,

(iv) a front portion comprising a slot, and

(v) a back portion joined to the front portion, the front and back portions defining a tubular shape;

(b) a handle joined to the proximal end;

(c) a longitudinal interior channel extending through the shaft and the handle, wherein the interior channel is located between the front portion and the back portion, the slot communicating with the interior channel; and

(d) an actuator element associated with the handle;

wherein the actuator element is mechanically coupled to a guide wire such that the guide wire is extensible and retractable according to adjustment of the actuator element relative to the handle.