Abstract:
Implantable devices for delivering drugs and other substances to locations within the body of a human or animal subject to treat or diagnose sinusitis and a variety of other disorders. The application includes implantable substance delivery devices that comprise reservoirs and barriers that control the rate at which substances pass out of the reservoirs. The delivery devices may be advanced into the body using guidewires, catheters, ports, introducers and other access apparatus. In some embodiments the delivery devices may be loaded with one or more desired substance before their introduction into the body. In other embodiments the delivery devices are loaded and/or reloaded with a desired substance after the delivery device has been introduced into the body.
Abstract:
A guide catheter (200) has a pre-set shape for insertion into a nasal cavity. Said guide catheter (200) comprises a proximal end, a distal end, and a lumen extending from the proximal end to the distal end. Said guide catheter (200) incorporates one or more preformed curves or bends, wherein the curved or bent regions form a deflection angle selected from: 30 degrees, 45 degrees, 60 degrees, 70 degrees, 90 degrees, 120 degrees and 135 degrees. A system for diagnosing and/or treating sinusitis or another disorder affecting the nose, paranasal sinuses or other anatomical structures of the ear, nose or throat comprises: a guide catheter (200) as described above; a balloon catheter (204) that can be advanced along the guide catheter (200), wherein the balloon catheter (204) comprises an inflatable balloon; and optionally a guidewire (202) that can be inserted through the lumen of the guide catheter (200).
Abstract:
A catheter device (1000) for treating a disease or disorder of a paranasal sinus having an ostium which opens into said paranasal sinus, said device comprising: a catheter shaft (1002) having a distal end, said catheter shaft being suitable for advancing, distal end first, through the ostium and into the paranasal sinus; a distal balloon (1006) for positioning inside the paranasal sinus adjacent to the ostium; a proximal balloon (1004) for positioning outside the paranasal sinus adjacent to the ostium; and at least one balloon inflation lumen extending through the catheter shaft (1002) for inflation of said distal and proximal balloons (1006,1004), said device further comprising a lumen that is sized to receive a guidewire such that the device may be advanced over a guidewire.
Abstract:
A system comprising a guide a, balloon catheter (200) and an inflator. The balloon (202) can be inflated to a size and pressure to cause breakage of bone and the enlargement of a passageway leading to a paranasal sinus.
Abstract:
Sinusitis and other disorders of the ear, nose and throat are diagnosed and/or treated using minimally invasive approaches with flexible or rigid instruments. Various methods and devices are used for remodelling or changing the shape, size or configuration of a sinus ostium or duct or other anatomical structure in the ear, nose or throat; implanting a device, cells or tissues; removing matter from the ear, nose or throat; delivering diagnostic or therapeutic substances or performing other diagnostic or therapeutic procedures. Introducing devices may be used, comprising a introducing member having a proximal end and a distal end for insertion into in a nasal cavity; and a working device that can be advanced along the introducing member, wherein the working device comprises a balloon catheter comprises radiographic markers.
Abstract:
A device for lavage of a paranasal sinus having an ostium, said device comprising: a catheter (1800,1900) having a proximal end, a distal end, an infusion lumen (1812,1902), an aspiration lumen (1810,1914), an infusion outlet aperture (1806,1904) and an aspiration inlet aperture (1808); and a balloon (1804,1912) for occluding a paranasal sinus ostium located on the catheter proximal to the infusion fluid outlet aperture and aspiration inlet aperture, whereby lavage fluid may be infused through the infusion lumen, out of the infusion outlet aperture and into the paranasal sinus and such lavage fluid may then be aspirated from the paranasal sinus through the aspiration inlet aperture and through the aspiration lumen.
Abstract:
A device (900) for insertion into a paranasal sinus, Eustachian tube, naso- lacrimal duct or other anatomical structure of the ear, nose or throat and for guiding a second device to that paranasal sinus, Eustachian tube, naso-lacrimal duct or other anatomical structure, said device comprising: an elongate shaft (902) having a proximal end and a distal end, at least a portion of said shaft being formed of plastically deformable material such that it may be bent into a desired shape; a bulbous tip member (906) on the distal end of the shaft; and a handle (904) attached to the proximal end of the shaft. Suitably, the handle (904) is detachable from said proximal end of the shaft. Also provided is a system comprising a device (900) according to the invention in combination with a second device that is advanceable over the shaft (902) when the handle (904) is detached from the proximal end of the shaft.
Abstract:
A balloon catheter device (1400) for delivering a substance to an ostium of a paranasal sinus of a human or animal subject, said device comprising: a catheter shaft (1402) having a balloon inflation lumen; a balloon (1404) attached to the catheter shaft (1402) and in fluid communication with said balloon inflation lumen (1410); and characterized in that said device further comprises a porous outer sheath (1406) attached to the catheter shaft (1402) and surrounding the balloon, an agent delivery lumen (1412) in said catheter shaft (1402) in fluid communication with a region between the balloon (1404) and the porous sheath (1406), the balloon being inflatable for compressing the porous outer sheath (1406) against tissue within said paranasal ostium whereby a therapeutically effective amount of the substance introduced through said agent delivery lumen can pass through the porous outer sheath and into contact with the paranasal ostium.