RU2011115098A - Способы и аппарат для лечения заболеваний уха, горла, носа - Google Patents
Способы и аппарат для лечения заболеваний уха, горла, носа Download PDFInfo
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- RU2011115098A RU2011115098A RU2011115098/14A RU2011115098A RU2011115098A RU 2011115098 A RU2011115098 A RU 2011115098A RU 2011115098/14 A RU2011115098/14 A RU 2011115098/14A RU 2011115098 A RU2011115098 A RU 2011115098A RU 2011115098 A RU2011115098 A RU 2011115098A
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- 201000010099 disease Diseases 0.000 title 1
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 title 1
- 210000003695 paranasal sinus Anatomy 0.000 claims abstract 9
- 239000012530 fluid Substances 0.000 claims abstract 4
- 210000003928 nasal cavity Anatomy 0.000 claims abstract 3
- 230000001737 promoting effect Effects 0.000 claims 6
- 238000004140 cleaning Methods 0.000 claims 3
- 239000007788 liquid Substances 0.000 claims 3
- 210000003484 anatomy Anatomy 0.000 claims 2
- 230000000916 dilatatory effect Effects 0.000 claims 2
- 210000001331 nose Anatomy 0.000 claims 1
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/24—Surgical instruments, devices or methods for use in the oral cavity, larynx, bronchial passages or nose; Tongue scrapers
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
- A61B1/00131—Accessories for endoscopes
- A61B1/0014—Fastening element for attaching accessories to the outside of an endoscope, e.g. clips, clamps or bands
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
- A61B1/12—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor with cooling or rinsing arrangements
- A61B1/126—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor with cooling or rinsing arrangements provided with means for cleaning in-use
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
- A61B1/233—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor for the nose, i.e. nasoscopes, e.g. testing of patency of Eustachian tubes
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
- A61B1/32—Devices for opening or enlarging the visual field, e.g. of a tube of the body
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M25/00—Catheters; Hollow probes
- A61M25/0067—Catheters; Hollow probes characterised by the distal end, e.g. tips
- A61M25/0068—Static characteristics of the catheter tip, e.g. shape, atraumatic tip, curved tip or tip structure
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M25/00—Catheters; Hollow probes
- A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
- A61M25/09—Guide wires
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M25/00—Catheters; Hollow probes
- A61M25/10—Balloon catheters
- A61M25/1018—Balloon inflating or inflation-control devices
- A61M25/10181—Means for forcing inflation fluid into the balloon
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M29/00—Dilators with or without means for introducing media, e.g. remedies
- A61M29/02—Dilators made of swellable material
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B2017/00535—Surgical instruments, devices or methods pneumatically or hydraulically operated
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M25/00—Catheters; Hollow probes
- A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
- A61M25/09—Guide wires
- A61M2025/09116—Design of handles or shafts or gripping surfaces thereof for manipulating guide wires
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M2210/00—Anatomical parts of the body
- A61M2210/06—Head
- A61M2210/0618—Nose
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M25/00—Catheters; Hollow probes
- A61M25/10—Balloon catheters
- A61M25/1018—Balloon inflating or inflation-control devices
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M25/00—Catheters; Hollow probes
- A61M25/10—Balloon catheters
- A61M25/1018—Balloon inflating or inflation-control devices
- A61M25/10184—Means for controlling or monitoring inflation or deflation
- A61M25/10185—Valves
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M25/00—Catheters; Hollow probes
- A61M25/10—Balloon catheters
- A61M25/1018—Balloon inflating or inflation-control devices
- A61M25/10184—Means for controlling or monitoring inflation or deflation
- A61M25/10185—Valves
- A61M25/10186—One-way valves
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Abstract
1. Устройство для расширения устья околоносовой пазухи человека или животного, содержащее: ! рукоятку; ! вытянутый ствол, имеющий проксимальный конец, соединенный с рукояткой, и дистальный конец, причем ствол имеет просвет и продольное отверстие, проходящее от просвета к внешней поверхности ствола вдоль по меньшей мере части длины между проксимальным и дистальным концами; ! проволочный направитель, проходящий через по меньшей мере часть просвета ствола; ! расширитель, имеющий нерасширенную конфигурацию и расширенную конфигурацию, причем по меньшей мере часть расширителя размещена на проволочном направителе и внутри просвета ствола; и ! скользящий элемент, соединенный с проволочным направителем и (или) расширителем через продольное отверстие ствола для продвижения проволочного направителя и (или) расширителя относительно ствола. ! 2. Устройство по п.1, в котором дистальный конец вытянутого ствола содержит вытянутый трубчатый элемент, соединенный с вытянутым стволом. ! 3. Устройство по п.1, в котором скользящий элемент выполнен с возможностью вращения вокруг оси относительно вытянутого ствола для вращения проволочного направителя и (или) расширителя. ! 4. Устройство по п.1, в котором дистальный конец ствола вводится в полость носа пациента через носовое отверстие. ! 5. Устройство по п.1, дополнительно содержащее прокалывающий элемент, присоединенный к дистальному концу ствола для прокалывания отверстия в околоносовой пазухе пациента, причем дистальный конец ствола вводят через это отверстие. ! 6. Устройство по п.1, дополнительно содержащее резервуар для жидкости, прикрепленный к вытянутому стволу, причем резе�
Claims (20)
1. Устройство для расширения устья околоносовой пазухи человека или животного, содержащее:
рукоятку;
вытянутый ствол, имеющий проксимальный конец, соединенный с рукояткой, и дистальный конец, причем ствол имеет просвет и продольное отверстие, проходящее от просвета к внешней поверхности ствола вдоль по меньшей мере части длины между проксимальным и дистальным концами;
проволочный направитель, проходящий через по меньшей мере часть просвета ствола;
расширитель, имеющий нерасширенную конфигурацию и расширенную конфигурацию, причем по меньшей мере часть расширителя размещена на проволочном направителе и внутри просвета ствола; и
скользящий элемент, соединенный с проволочным направителем и (или) расширителем через продольное отверстие ствола для продвижения проволочного направителя и (или) расширителя относительно ствола.
2. Устройство по п.1, в котором дистальный конец вытянутого ствола содержит вытянутый трубчатый элемент, соединенный с вытянутым стволом.
3. Устройство по п.1, в котором скользящий элемент выполнен с возможностью вращения вокруг оси относительно вытянутого ствола для вращения проволочного направителя и (или) расширителя.
4. Устройство по п.1, в котором дистальный конец ствола вводится в полость носа пациента через носовое отверстие.
5. Устройство по п.1, дополнительно содержащее прокалывающий элемент, присоединенный к дистальному концу ствола для прокалывания отверстия в околоносовой пазухе пациента, причем дистальный конец ствола вводят через это отверстие.
6. Устройство по п.1, дополнительно содержащее резервуар для жидкости, прикрепленный к вытянутому стволу, причем резервуар для жидкости сообщается с расширителем.
7. Устройство по п.6, дополнительно содержащее пусковое устройство, соединенное с резервуаром для жидкости, причем приведение в действие пускового устройства вызывает накачивание расширителя жидкостью из резервуара для жидкости, в результате чего расширитель получает расширенную конфигурацию.
8. Устройство для доступа к устью околоносовой пазухи человека или животного, содержащее:
рукоятку;
вытянутый ствол с проксимальным концом, присоединенным к рукоятке, и дистальным концом, и продольным просветом, по меньшей мере частично проходящим от проксимального конца к дистальному концу;
продвигающий устройство элемент, соединенный с рукояткой и (или) вытянутым стволом и выполненный с возможностью соединения с по меньшей мере одним устройством и его продвижения через просвет ствола и для по меньшей мере частичного введения устройства в устье околоносовой пазухи.
9. Устройство по п.8, дополнительно содержащее проволочный направитель, по меньшей мере частично проходящий через просвет ствола, причем продвигающий устройство элемент имеет конфигурацию, обеспечивающую соединение с проволочным направителем и продвижение его через просвет и через устье околоносовой пазухи.
10. Устройство по п.8, дополнительно содержащее баллонный расширяющий катетер, по меньшей мере частично проходящий через просвет ствола, причем продвигающий устройство элемент имеет конфигурацию, обеспечивающую соединение с баллонным расширяющим катетером и продвижение его по меньшей мере частично в устье околоносовой пазухи.
11. Устройство по п.8, в котором продвигающий устройство элемент содержит скользящий элемент.
12. Устройство по п.8, в котором продвигающий устройство элемент содержит:
два ролика для удерживания и продвижения устройства; и
привод, соединенный с двумя роликами и предназначенный для приведения роликов в движение.
13. Система для расширения анатомической структуры в полости уха, горла и носа человека или животного, содержащая:
эндоскоп;
направляющую в форме вытянутой трубки, имеющую разъемное соединение с эндоскопом;
рукоятку, соединенную с эндоскопом и (или) направляющей в форме вытянутой трубки, для удерживания эндоскопа и направляющей в форме вытянутой трубки в одной руке; и
расширитель, размещенный и свободно скользящий внутри направляющей в форме вытянутой трубки, имеющий нерасширенную конфигурацию для прохождения по направляющей в форме вытянутой трубки и расширенную конфигурацию для расширения анатомической структуры.
14. Система по п.13, дополнительно содержащая:
первый зажим, прикрепленный к эндоскопу;
второй зажим, прикрепленный к направляющей в форме вытянутой трубки; и
соединительный элемент, соединяющий первый и второй зажимы.
15. Система по п.13, в которой эндоскоп и направляющая в форме вытянутой трубки, соединенные вместе, имеют такой размер, чтобы пройти через носовое отверстие пациента в полость носа.
16. Система по п.13, в которой эндоскоп и направляющая в форме вытянутой трубки, соединенные вместе, имеют такой размер, чтобы пройти в отверстие, проколотое в околоносовой пазухе пациента, причем система дополнительно содержит прокалывающий элемент, соединенный с эндоскопом и (или) с направляющей в форме вытянутой трубки, для создания отверстия.
17. Система по п.13, дополнительно содержащая проволочный направитель, размещенный через просвет направляющей, проходящий по меньшей мере сквозь часть расширителя.
18. Система по п.17, дополнительно содержащая элемент, продвигающий проволочный направитель, соединенный с направляющей в форме вытянутой трубки для продвижения проволочного направителя относительно направляющей в форме вытянутой трубки.
19. Система по п.13, дополнительно содержащая устройство для очистки эндоскопа, соединенное с эндоскопом; причем устройство для очистки эндоскопа содержит:
чехол, размещенный на по меньшей мере части эндоскопа; и
трубку, соединенную с чехлом, для соединения чехла с источником очистительной жидкости.
20. Система по п.13, в которой эндоскоп представляет собой жесткий эндоскоп с поворотной призмой.
Applications Claiming Priority (5)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US9815708P | 2008-09-18 | 2008-09-18 | |
| US61/098,157 | 2008-09-18 | ||
| PCT/US2009/057203 WO2010033629A1 (en) | 2008-09-18 | 2009-09-16 | Methods and apparatus for treating disorders of the ear nose and throat |
| US12/561,147 US8414473B2 (en) | 2004-04-21 | 2009-09-16 | Methods and apparatus for treating disorders of the ear nose and throat |
| US12/561,147 | 2009-09-16 |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| RU2011115098A true RU2011115098A (ru) | 2012-10-27 |
| RU2506056C2 RU2506056C2 (ru) | 2014-02-10 |
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| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| RU2011115098/14A RU2506056C2 (ru) | 2008-09-18 | 2009-09-16 | Способы и аппарат для лечения заболеваний уха, горла, носа |
Country Status (11)
| Country | Link |
|---|---|
| US (3) | US8414473B2 (ru) |
| EP (1) | EP2323724A1 (ru) |
| JP (2) | JP5584687B2 (ru) |
| KR (1) | KR101643907B1 (ru) |
| CN (2) | CN103623498B (ru) |
| AU (1) | AU2009293312B2 (ru) |
| BR (1) | BRPI0919195A2 (ru) |
| CA (1) | CA2737804A1 (ru) |
| MX (1) | MX2011003025A (ru) |
| RU (1) | RU2506056C2 (ru) |
| WO (1) | WO2010033629A1 (ru) |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| RU2600278C2 (ru) * | 2010-09-27 | 2016-10-20 | Авент Инк., | Многобаллонное расширительное устройство для введения катетерной трубки |
Families Citing this family (168)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US7462175B2 (en) | 2004-04-21 | 2008-12-09 | Acclarent, Inc. | Devices, systems and methods for treating disorders of the ear, nose and throat |
| US8894614B2 (en) | 2004-04-21 | 2014-11-25 | Acclarent, Inc. | Devices, systems and methods useable for treating frontal sinusitis |
| US20060004323A1 (en) | 2004-04-21 | 2006-01-05 | Exploramed Nc1, Inc. | Apparatus and methods for dilating and modifying ostia of paranasal sinuses and other intranasal or paranasal structures |
| US20070208252A1 (en) | 2004-04-21 | 2007-09-06 | Acclarent, Inc. | Systems and methods for performing image guided procedures within the ear, nose, throat and paranasal sinuses |
| US9399121B2 (en) | 2004-04-21 | 2016-07-26 | Acclarent, Inc. | Systems and methods for transnasal dilation of passageways in the ear, nose or throat |
| US20070167682A1 (en) | 2004-04-21 | 2007-07-19 | Acclarent, Inc. | Endoscopic methods and devices for transnasal procedures |
| US8747389B2 (en) | 2004-04-21 | 2014-06-10 | Acclarent, Inc. | Systems for treating disorders of the ear, nose and throat |
| US8702626B1 (en) | 2004-04-21 | 2014-04-22 | Acclarent, Inc. | Guidewires for performing image guided procedures |
| US20060063973A1 (en) | 2004-04-21 | 2006-03-23 | Acclarent, Inc. | Methods and apparatus for treating disorders of the ear, nose and throat |
| US7419497B2 (en) | 2004-04-21 | 2008-09-02 | Acclarent, Inc. | Methods for treating ethmoid disease |
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- 2009-09-16 AU AU2009293312A patent/AU2009293312B2/en not_active Ceased
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- 2009-09-16 BR BRPI0919195A patent/BRPI0919195A2/pt not_active IP Right Cessation
- 2009-09-16 CA CA2737804A patent/CA2737804A1/en not_active Abandoned
- 2009-09-16 CN CN201310672731.6A patent/CN103623498B/zh not_active Expired - Fee Related
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- 2009-09-16 EP EP09792627A patent/EP2323724A1/en not_active Withdrawn
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- 2009-09-16 US US12/561,147 patent/US8414473B2/en active Active
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Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| RU2600278C2 (ru) * | 2010-09-27 | 2016-10-20 | Авент Инк., | Многобаллонное расширительное устройство для введения катетерной трубки |
| RU2604042C2 (ru) * | 2010-09-27 | 2016-12-10 | Авент ИНК. | Расширительное устройство для введения катетерной трубки |
Also Published As
| Publication number | Publication date |
|---|---|
| US20130261388A1 (en) | 2013-10-03 |
| US20100099946A1 (en) | 2010-04-22 |
| EP2323724A1 (en) | 2011-05-25 |
| RU2506056C2 (ru) | 2014-02-10 |
| WO2010033629A8 (en) | 2010-05-27 |
| MX2011003025A (es) | 2011-04-21 |
| CN103623498A (zh) | 2014-03-12 |
| CA2737804A1 (en) | 2010-03-25 |
| KR20110056409A (ko) | 2011-05-27 |
| CN102159276A (zh) | 2011-08-17 |
| JP2012502749A (ja) | 2012-02-02 |
| BRPI0919195A2 (pt) | 2019-09-24 |
| JP5837152B2 (ja) | 2015-12-24 |
| CN103623498B (zh) | 2015-12-30 |
| KR101643907B1 (ko) | 2016-07-29 |
| JP2015037540A (ja) | 2015-02-26 |
| US20180125515A1 (en) | 2018-05-10 |
| CN102159276B (zh) | 2014-01-15 |
| JP5584687B2 (ja) | 2014-09-03 |
| US8414473B2 (en) | 2013-04-09 |
| AU2009293312A1 (en) | 2010-03-25 |
| US10702295B2 (en) | 2020-07-07 |
| US9826999B2 (en) | 2017-11-28 |
| WO2010033629A1 (en) | 2010-03-25 |
| AU2009293312B2 (en) | 2015-07-09 |
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