Classifications

• • 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
  • A61B17/24—Surgical instruments, devices or methods for use in the oral cavity, larynx, bronchial passages or nose; Tongue scrapers
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
  • A61B17/00—Surgical instruments, devices or methods
  • A61B17/00234—Surgical instruments, devices or methods for minimally invasive surgery
  • A61B2017/00292—Surgical instruments, devices or methods for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
  • A61B2017/003—Steerable
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
  • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
  • A61B90/30—Devices for illuminating a surgical field, the devices having an interrelation with other surgical devices or with a surgical procedure
  • A61B2090/306—Devices for illuminating a surgical field, the devices having an interrelation with other surgical devices or with a surgical procedure using optical fibres
• • 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
  • A61M25/0105—Steering means as part of the catheter or advancing means; Markers for positioning
  • A61M25/0133—Tip steering devices
  • A61M25/0147—Tip steering devices with movable mechanical means, e.g. pull wires

Definitions

• the present invention relates to a steerable sinus balloon catheter and it relates to use of this catheter in treatment of paranasal sinus diseases with some improved functions. Said improvements are based on providing illumination at the distal tip of the catheter without the need for an external source by means of adding light source and optic fibers into the structure of the catheter.
• Paranasal sinuses are four pairs of cavities found within the cranium or within the cranial bones surrounding the nose and they are normally filled with air. These are the frontal sinuses found at the brow region above the eyes, the maxillary sinuses found within each of the cheekbones, the ethmoid sinuses found just behind the nose bridge and between the eyes, and the sphenoid sinuses found behind the eyes and the ethmoid sinuses.
• Paranasal sinuses comprise ducts called ostium for drainage of mucus, air, and other substances and their movement within the sinus system.
• ostium for drainage of mucus, air, and other substances and their movement within the sinus system.
• inflammation in case of occurrence of inflammation in the tissues forming this duct and the ostiums, it would cause swelling of these tissues and prevention of normal liquid flow. Said inflammation may occur due to allergy, toxic substances, nose polyps, and other factors.
• Pathological increase that occurs in the inflammatory tissue in time would cause permanent disruption of liquid flow within the sinus system.
• Sinusitis is the situation wherein one or more of the four paired sinus couples are chronically or episodically blocked due to inflammation and swelling.
• the most significant symptom of chronic sinusitis is nasal blockage that becomes severe at night.
• the basic problem behind chronic sinusitis is arrival of inadequate air to sinuses as a result of blockage of the sinus ducts.
• This method developed for computer-aided sinus surgery is based on real time monitoring of the functional parts of the instruments used during surgery with the help of a special device and software within the complex sinus anatomy with a margin of error that is less than 1 mm.
• balloon dilatation is reaching the sinus duct with the help of sufficiently thin catheters without damaging tissues and broadening of the blocked area via balloon.
• a flexible balloon catheter is inflated at the blocked region and then removed. In this way, blocked sinus ducts are broadened and normal flow is obtained.
• Balloon dilatation is known to be a method used alone or together with other endoscopic surgery techniques.
• Balloon dilatation method is used in maxillary sinus, frontal sinus, and sphenoid sinus diseases, and can not be used alone in ethmoid sinuses.
• Patent publication no US 2011/00224652 can be given as an example to the documents using sinus treatment tools operating with the use of inflatable balloons.
• Said patent discloses; a balloon dilatation catheter comprising a rigid internal guide wire and a movable shaft in connection with a balloon adapted such that it would skid over this internal guide wire.
• the American patent no US 2008/00208243 A1 discloses a balloon catheter having a previously adjusted angle in order to be able to be pushed into the sinuses and comprising a hard hypotube.
• the balloon catheter In order to be able to position the balloon catheter in the desired ostium during surgical operation, the balloon catheter has to be pushed forward within the complex sinus anatomy.
• the catheter which is the subject of the said patent application, does not enable pushing forward easily and without giving damage to other tissues within the sinus anatomy due to its rigid structure and previously determined fixed angle.
• the problem of not fitting of a fixed-angle catheter formed of hard hypotube into different sinus anatomies of different people is another disadvantage for doctors.
• production of various catheter sets having different fixed angles for patients having different anatomic structures is not a practical solution, which is quite expensive.
• guide wires providing light at the tip part are developed, and thus operations can be made on the frontal and maxillary sinuses without using fluoroscopy.
• the guide wire enters into the sinuses with the help of shape-adjusted sinus guide.
• the light emitted from the tip of the guide wire can be observed outside the area of operation, on the face of the patient. In this way, entrance of the guide into the sinus cavity is observed.
• the balloon catheter is sent forward from the sinus entrance on this guide wire. Since the guide wire cannot support the balloon catheter, a sinus guide has to support the catheter for entrance into the sinus structures with the correct angle.
• the illumination provided by the luminous guide wire would only show the position of the guide wire entering into the sinus, there would be still need for visualization of the balloon position. However, only the proximal tip of the balloon can be visualized by means of endoscopic camera.
• the main purpose of the invention of the present application is to eliminate the above said problems.
• illumination is provided by means of separate devices or guide wires.
• the purpose is to provide a sinus balloon catheter, which is more advantageous than the prior art instruments, and which provides an illumination system at the tip part. In this way, it enables more effective observation of the sinus balloon catheter position in the sinus ducts.
• the invention of the present application is a sinus balloon catheter providing illumination at its distal tip. It provides visualization by using a separate endoscopic camera as in the prior art.
• the important part is, it not only enables observation of the proximal tip of the balloon (1), but also provides the advantage of observing the position of the distal tip, thanks to the system providing illumination at the distal tip of the catheter. In other words, the light spread from the catheter tip part can be observed at the outer part of the operation area, which is, on the face of the patient.
• Another advantage is having the illumination system (14, 15, 16) at the hub (10) of the catheter instead of having in a separate device. In this way, illumination can be made without the need for using a separate light source or a connection. This would naturally increase the ergonomics of the surgical instrument for the doctor.
• the catheter of the invention is basically formed of a hub (10) and a shaft (20).
• Catheter comprises a balloon inflation-deflation port (11) in the hub (10) part, a battery (14) performing the task of power source (14), a LED (Light Emitting Diode) (16) performing the task of light source (16), and on-off button (15).
• It comprises one or more optic fibers (23) providing illumination at the catheter tip part in its body.
• said catheter tip part is made of soft and flexible material.
• the tip of the catheter is made of hard and transparent material performing the task of a lens.
• Said catheter can have previously shape-adjusted linear form, previously shape-adjusted curved form, or re-shapeable and steerable form in accordance with the embodiments/configurations to be preferred.
• the present invention catheter can comprise flush lumen (22).
• the sinus illumination system (14, 15, 16, 23) of the invention relates to having the optic fibers (23), which provide light transmission to the target region, in balloon catheter structure.
• An embodiment of the novel sinus balloon catheter of the present invention developed for paranasal sinus surgery is shown in Figure-1.
• Novel balloon dilatation catheter comprises a hub (10), which enables manipulation by means of being held by an operator from the proximal tip, and also forms the weld; a balloon inflation-deflation port (11) found on the said hub (10) body; and a light source (16) found on the said hub (10) body.
• Said light source (16) can be a high power led (16).
• it comprises accumulator, battery (14) etc., and a chamber for these and an on-off button (15).
• the invention comprises one or more optic fibers (23) laying along its inner body (25) and providing transmission of light to the distal tip of the sinus balloon dilatation catheter.
• said catheter comprises the light source (16) required for illuminating of the sinus cavities in its structure, and thus the operator using the said catheter can see the position of the balloon (1) without the need for using external sources and devices, X-ray etc. methods harmful for the health of both the patient and the operator.
• Usage of the catheter without the need of being connected to another light source (16) also provides advantage in terms of ergonomic purposes.
• the sinus balloon dilatation catheter of the invention has elongated form and comprises a tubular catheter shaft (20) extending in distal direction from the said catheter hub (10) part.
• Said tubular catheter shaft (20) cross-section view is shown in Figure-1A and at the outermost, it comprises the outer jacket (26), and towards the inner part, balloon inflation-deflation lumen (24), inner body (25), and one or more fiber optics (23) are found, respectively.
• said catheter shaft (20) comprises a lumen (24) which has optic fibers (23) laying along inside of it or a lumen (24) and optic fiber (23) which are laying along inside the inner body(25).
• Catheter shaft (20) outer jacket (26) and inner body (25) material can be selected from thermoplastic elastomers, polymer, or polyester groups comprising polyamide, polyether block amides, thermoplastic urethane, polyurethane, and pet etc. materials. These materials can be used alone or in combination.
• outer jacket (26) is formed in a way that it would cylindrically surround the inner body (25) and sized such that space/gap would be left between them.
• Outer jacket (26) outer diameter can be about 1,5 mm and inner diameter can be about 1,2 mm.
• This space forms the lumen (24) which provides inflation-deflation of the balloon (1) by means of passing liquid or gases through it.
• the balloon (1) is found at the distal tip of the catheter shaft (20) and its position and the balloon-shaft weld (2) are seen in the figures. Also, marker bands (3) are found on the balloon (1).
• inflation-deflation is made via the tubular-form lumen (24) formed along the inner body (25) instead of the coaxial space found between the lumen (24), inner body (25), and outer jacket (26).
• an inflation-deflation lumen (24) is found as extending within the inner body (25) and the optic fiber (23) or fibers (23) are also extended within the lumen (24) along the shaft (20).
• one or more inflation-deflation holes (50) are configured on the inner body (25). Said inflation-deflation holes (50) are the spaces that provide the passage of the substances, which are sent from the lumen (24) with the purpose of inflating or deflating the balloon (1), through the lumen (24) towards the balloon (1).
• a tubular inflation-deflation lumen (24) extending within the inner body (25) and optic fiber (23) or fibers (23) extending along the shaft (20) beside this tubular lumen (24) are found.
• the tubular inflation-deflation lumen (24) reaches the region where the balloon (1) is found, it reaches the inner region of the balloon (1) by being bent outwards. Said region is an inflation-deflation hole (50) opened from the inner body (25) towards the balloon (1).
• the sinus balloon dilatation catheter of the present invention can comprise a soft flexible tip (30) or a tip in the form of a hard transparent lens.
• This soft and flexible material used at the catheter tip part is selected from transparent polymer, polyurethane, and soft thermoplastic elastomers.
• the hard and transparent material used at the catheter tip part can be selected from the group formed of high index plastic, polycarbonate, and conventional plastic materials.
• the sinus balloon dilatation catheter of the present invention can comprise a linear (30) or a previously shape-adjusted curved (31) or a steerable (33) and optionally a re-shapeable (33) tip in different embodiments.
• the angle of curvature of the previously shape-adjusted curved tip is formed such that, it would enter the sinus ducts in the most suitable manner and it is preferably 110° or 40° or any angle between these two values.
• the sinus balloon dilatation catheter can comprise one or more lumen, flush lumen (22).
• the tip part (30) of the catheter has linear form and is made of soft and flexible material.
• Catheter tip part can have curved, or in other words, circular form (31) such that it would adapt the structure of sinus cavities.
• it can have an optionally re-shapeable (33) distal tip, which can be added later on.
• the angle of curvature is the most suitable angle for entering into sinus ducts such that it is preferably 110° or 40° or any angle between these two values.
• Figure-2 and Figure-3 other embodiments of the sinus balloon dilatation catheter, which is the subject of the invention, are shown, and as also described above; the tip part of the catheter has previously shape-adjusted curved form (31) and is made of soft and flexible material.
• Figure-2 shows a catheter comprising an optic fiber (23)
• Figure-3 shows a catheter comprising more than one optic fiber (23).
• the optic fibers (23) can be made of fiber glass material, it can also be formed of polymers with appropriate optic light refraction index.
• Figure-2A is the cross-section view of the catheter shaft (20) having previously shape-adjusted (31) curved tip form shown in Figure-2 and it is the same with Figure-1A when looked starting from the outside towards the inner parts.
• Figure-3A the cross-section view of the catheter shaft (20) having previously shape-adjusted (31) circular tip form shown in Figure-3 is shown and starting from the outside, it is formed of the outer jacket (26), balloon inflation-deflation lumen (24), inner body (25), and more than one optic fibers (23) in this inner body (25).
• the sinus balloon dilatation catheter can comprise a flush lumen (22) and a port (12) in connection with this.
• An embodiment of this invention comprising flush lumen (22) is shown in figure-6 and figure-7, and figure-7 is the view of the catheter comprising more than one optic fiber (23).
• the balloon dilatation catheter comprises one flush port (12) formed on the hub (10) of the proximal tip and one flush lumen (22) extending towards distal direction from this flush port (12) in the inner body (25) found in the catheter shaft (20).
• This flush port (12) can be configured by means of a conventional interface such as Luer connector.
• cross-sections of the distal tip of the catheter embodiments shown in Figure-7, before and after the balloon (1) are given as the cross-section A and cross-section B in Figure-7A and Figure-7B, respectively.
• the outer jacket (26) and the balloon (1) inflation-deflation lumen (24) shown in the cross-section A of the catheter is not included in the cross-section B, which is the distal tip cross-section found after the balloon (1).
• an alternative steerable or re-shapeable (33) distal tip can be found as described above.
• shape adjustment wire (21) is found in the inner body (25) within the catheter shaft (20) providing adjustment of the curvature required for the said steerability and form adaptation and a shape adjustment wheel (13) is found for controlling it.
• Said shape adjustment wheel (13) is found at the catheter hub (10) part and the shape adjustment wire (21) connected to it extends towards the distal direction and continues up to the catheter tip part. In this way, adjustments about the balloon dilatation catheter orientation and position can be made.
• the catheter shaft (20) part extending towards distal direction in elongated form comprises outer jacket (26) at the outermost part and towards the inner parts it comprises balloon inflation-deflation lumen (24), inner body (25), shape adjustment wire (21) and one or more optic fibers (23) and flush lumen (22) in the inner body (25).
• the cross-section of the distal tip of this catheter shaft (20) described is given in Figure-9A.
• balloon (1) is present at the distal tip of the said catheter and marker bands (3) are found on the balloon (1).
• catheter tip can have soft, flexible form or hard, transparent (lens) form.
• the first one of the above said embodiments that is based on not having outer jacket (26) in the catheter shaft (20) structure and having inner body (25) as the outermost layer, and having the components in extended form within the said inner body (25) is given in Figure 11.
• the coaxial space found within the inner body (25) forms the inflation-deflation lumen (24). Passage of the gases or liquids to the balloon (1) is ensured by means of the inflation-deflation holes (50) opened from the lumen (24) towards the balloon (1).
• the layers from outside-in are inner body (25), inflation-deflation lumen (24), and optic fiber (23).
• the number of optic fibers (23) extending within the lumen (24) can be more than one in different embodiments.
• Section BB' of the tip part (31) is given in Figure 11B.
• a tubular inflation-deflation lumen (24) is found within the shaft (20) formed by the inner body (25). This lumen (24) extends up to the region where balloon (1) is found and makes an outward curve, which is towards the balloon (1) and ends at the space of the balloon (1). In this way, the inflation-deflation hole (50) through which the liquids or gases would be transferred to the balloon (1) is formed.
• the inner body (25) is found at the outermost part and an inflation-deflation lumen (24) is found within this inner body (25) and the optic fiber (23) extend just nearby. Optic fiber (23) extends towards the end.
• Section BB' of the shaft (20) can be seen in Figure 12B. Since the lumen (24) ends at the balloon (1), only the inner body (25) and the optic fiber (23) extending within the inner body (25) are seen in section BB'.
• the power source (14), on-off button (15), and light source (16) are found in the hub (10) body.
• they can be optionally included in the mechanism as a separate apparatus (40) comprising the power source (14), on-off button (15) and light source (16) components.
• a separate apparatus integration port (41) is found on the hub (10).
• an apparatus (40) comprising high power light source (16), power source (14), and on-off button (15) can be optionally integrated into the hub (10) structure and provide light transmission to the optic fiber (23).
• This apparatus integration port (41) found on the hub (10) can be applied to all of the above said embodiments of the invention. Said apparatus (4) and the integration port (41) are given in detail in figure-10. Moreover, the cross-section views of the said catheter are given in Figures-10A and 10B.
• the doctor places a sinus guide catheter through the nostril via endoscopic view in order to reach the sinus ostium.
• Endoscope provides the doctor with the facility to see the sinus cavities through the nasal passage in order to be sure that the catheter is inserted in the correct and suitable position.
• a sinus guide wire or another sinus illumination system is inserted into the target sinus by means of sinus guide catheter.
• the balloon catheter is inserted into the sinus cavity through the sinus guide wire or sinus illumination system and positioned to be inflated in the blocked ostium and the position of the catheter is confirmed by endoscopic view. Then, it is inflated to broaden and open the said blockage.
• an irrigation catheter can be used to clean the inflammation and mucus found in the sinus by means of being pushed forward on the sinus guide wire or the illumination system.
• Integrated irrigation system is present in some of the balloon catheter structures and these catheters make the procedure easier.
• the doctor inserts a sinus guide catheter through the nostril for the balloon catheter embodiments that are not steerable.
• Use of endoscope camera can be preferred in order to make sure that the doctor inserts the catheter to the correct and appropriate position.
• the sinus catheter of the present invention emitting light from the distal tip is pushed towards the sinus duct with the help of guide catheter or alone if it is a steerable catheter.
• the balloon (1) is inflated to broaden and open the blockage. The balloon (1) is deflated when this operation is complete. If the catheter embodiment comprises the flush lumen (22), then flush and irrigation can be made.
• Illumination is provided at the tip part of the catheter in order to enable safer confirmation of the balloon (1) position.
• the invention is a balloon dilatation catheter developed for solving the said problems and providing the said advantages in treatment of paranasal sinus diseases, and it comprises:
• a flexible and elongated-form tubular shaft (20) which has a proximal and a distal tip, and through which a primary lumen (24) and an inner body (25) passes; a hub (10) fixed at the proximal tip of the said tubular shaft (20); a primary port (11) that is connected to the primary lumen (24) passing through the said tubular shaft (20) in the said hub (10) body; an inflatable member (1) found at the distal tip of the flexible elongated shaft (20) and having internal part that is connected to the said primary lumen (24); an illumination system (14, 15, 16) permanently adapted to the hub (10) body and providing illumination at the distal part of the said inflatable member (1) and the distal tip of the tubular shaft (20) for safer correction of the said inflatable member (1) position, and comprising at least one power source (14), on-off button (15) and at least one light source (16); and one or more fiber optics (23), which extend longitudinally towards distal direction within the inner body (25) found in the tubular shaft (20) from the said light
• the invention comprises a shape adjustment wire (21), which provides orientability to catheter and gives optional shape adjustment capability to its tip part, and extends longitudinally from the proximal hub (10) body up to the distal tip within the inner body (25) found in the tubular shaft (20); and a shape adjustment wheel (13) found on the hub (10) body and connected to the shape adjustment wire (21) and providing control of the shape adjustment wire (21).
• One or more marker bands (3) are found on the inflatable member (1) found in its structure.
• the primary lumen (24) connected to the inflatable member (1) is an inflation-deflation lumen (24) used for inflating and deflating the inflatable member (1) when required by means of passing liquids or gases through it; and the primary port (11) that is found on the hub (10) body and connected to the said primary lumen (24) is an inflation-deflation port (11).
• the inflatable member (1) found at the distal tip of the tubular shaft (20) is balloon (1).
• the secondary lumen (22) that extends longitudinally up to the distal tip within the inner body (25) found in the tubular shaft (20) is a flush lumen (22) that is used for irrigation when required; and the secondary port (12) that is connected with the said secondary lumen (22) in the hub (10) body is a flush port (12).
• the invention has a soft and flexible tip (30) or a hard and transparent tip (30). It may have a linear-shaped or a previously shape-adjusted curved shaped or a re-shapeable and steerable tip (33). Any part of the tubular shaft (20) and the catheter tip has a structure that can be bendable to adapt the sinus cavities. Catheter can have conical tip.
• Figure-1 is the view of a linear and soft tip embodiment of the sinus balloon dilatation catheter.
• Figure-1A is the cross-section view of the catheter shaft of a linear and soft tip embodiment of the sinus balloon dilatation catheter.
• Figure-2 is the view of an embodiment of the sinus balloon dilatation catheter, which is previously shape-adjusted as curved and has soft tip.
• Figure-2A is the cross-section view of the catheter shaft of an embodiment of the sinus balloon dilatation catheter, which is previously shape-adjusted as curved and has soft tip.
• Figure-3 is the view of an embodiment of the s inus balloon dilatation catheter, which has previously curved shape-adjusted and soft tip and comprises more than one optic fiber.
• Figure-3A is the cross-section view of the catheter shaft of an embodiment of the s inus balloon dilatation catheter, which has previously curved shape-adjusted and soft tip and comprises more than one optic fiber.
• Figure-4 is the view of a previously curved shape-adjusted tip embodiment of the sinus balloon dilatation catheter.
• Figure-4A is the cross section view of a previously curved shape-adjusted tip embodiment of the sinus balloon dilatation catheter.
• Figure-4B is the cross section view of the distal tip a previously curved shape-adjusted tip embodiment of the sinus balloon dilatation catheter.
• Figure-5 is the view of an embodiment of the sinus balloon dilatation catheter, which has previously curved shape-adjusted tip and comprises more than one fiber optics.
• Figure-5A is the cross-section view of an embodiment of the sinus balloon dilatation catheter, which has previously curved shape-adjusted tip and comprises more than one fiber optics.
• Figure-5B is the cross-section view the distal tip of an embodiment of the sinus balloon dilatation catheter, which has previously curved shape-adjusted tip and comprises more than one fiber optics.
• Figure-6 is the view of an embodiment of the previously curved shape-adjusted tip sinus balloon dilatation catheter comprising flush lumen.
• Figure-6A is the cross-section view of an embodiment of the previously curved shape-adjusted tip sinus balloon dilatation catheter comprising flush lumen.
• Figure-6B is the cross-section view of the distal tip of an embodiment of the previously curved shape-adjusted tip sinus balloon dilatation catheter comprising flush lumen.
• Figure-7 is the view of an embodiment of the previously curved shape-adjusted tip sinus balloon dilatation catheter comprising flush lumen and more than one optic fiber.
• Figure-7A is the cross-section view of an embodiment of the previously curved shape-adjusted tip sinus balloon dilatation catheter comprising flush lumen and more than one optic fiber.
• Figure-7B is the cross-section view of the distal tip of an embodiment of the previously curved shape-adjusted tip sinus balloon dilatation catheter comprising flush lumen and more than one optic fiber.
• Figure-8 is the view of the steerable and re-shapeable tip embodiment of the s inus balloon dilatation catheter.
• Figure-8A is the cross-section view of the steerable and re-shapeable tip embodiment of the s inus balloon dilatation catheter.
• Figure-9 is the view of the steerable and re-shapeable tip embodiment of the s inus balloon dilatation catheter comprising flush lumen.
• Figure-9A is the cross-section view of the steerable and re-shapeable tip embodiment of the s inus balloon dilatation catheter comprising flush lumen.
• Figure-10 is the view of the external apparatus integrated at the hub part of the sinus balloon dilatation catheter and the embodiment comprising port for this apparatus.
• Figure-10A is the cross-section view of the sinus balloon dilatation catheter embodiment comprising integration port for the apparatus.
• Figure-10B is the cross-section view of the distal part of the sinus balloon dilatation catheter embodiment comprising integration port for the apparatus.
• Figure-11 is a view of an embodiment of the sinus balloon dilatation catheter not comprising outer jacket and comprising primary lumen through which optic fiber passes.
• Figure-11A is a cross sectional view of an embodiment of the sinus balloon dilatation catheter not comprising outer jacket and comprising primary lumen through which optic fiber passes.
• Figure-11B is a cross sectional view of a distal tip of an embodiment of the sinus balloon dilatation catheter not comprising outer jacket and comprising primary lumen through which optic fiber passes.
• Figure-12 is a view of an embodiment of the sinus balloon dilatation catheter not comprising outer jacket and comprising optic fiber and tubular primary lumen.
• Figure-12A is a cross sectional view of an embodiment of the sinus balloon dilatation catheter not comprising outer jacket and comprising optic fiber and tubular primary lumen.
• Figure-12B is a cross sectional view of a distal tip of an embodiment of the sinus balloon dilatation catheter not comprising outer jacket and comprising optic fiber and tubular primary lumen.

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• 2013
  • 2013-05-28 IN IN2604MUN2014 patent/IN2014MN02604A/en unknown
  • 2013-05-28 CN CN201380040257.3A patent/CN104507380A/zh active Pending
  • 2013-05-28 CA CA2878001A patent/CA2878001A1/en not_active Abandoned
  • 2013-05-28 WO PCT/IB2013/054396 patent/WO2013179217A1/en active Application Filing
  • 2013-05-28 EP EP13734513.8A patent/EP2861129A1/en not_active Withdrawn
  • 2013-05-28 AU AU2013269162A patent/AU2013269162A1/en not_active Abandoned
• 2014
  • 2014-12-23 ZA ZA2014/09493A patent/ZA201409493B/en unknown

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