FR2598312A1 - PERMANENT TRANS-NASAL SINUSIAN AERATOR IN DOUBLE "T" - Google Patents

PERMANENT TRANS-NASAL SINUSIAN AERATOR IN DOUBLE "T" Download PDF

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Publication number
FR2598312A1
FR2598312A1 FR8606640A FR8606640A FR2598312A1 FR 2598312 A1 FR2598312 A1 FR 2598312A1 FR 8606640 A FR8606640 A FR 8606640A FR 8606640 A FR8606640 A FR 8606640A FR 2598312 A1 FR2598312 A1 FR 2598312A1
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FR
France
Prior art keywords
sinus
aerator
tube
fins
trocar
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Granted
Application number
FR8606640A
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French (fr)
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FR2598312B1 (en
Inventor
Vincent Bouton
Corine Bouton
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Individual
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Individual
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Publication date
Application filed by Individual filed Critical Individual
Priority to FR8606640A priority Critical patent/FR2598312B1/en
Priority to PCT/FR1987/000106 priority patent/WO1987006817A1/en
Priority to EP87902115A priority patent/EP0267923A1/en
Priority to JP62502218A priority patent/JPH01500325A/en
Priority to AU71676/87A priority patent/AU596836B2/en
Publication of FR2598312A1 publication Critical patent/FR2598312A1/en
Priority to DK003488A priority patent/DK3488A/en
Priority to US07/361,729 priority patent/US4964850A/en
Application granted granted Critical
Publication of FR2598312B1 publication Critical patent/FR2598312B1/en
Expired legal-status Critical Current

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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
    • A61M27/00—Drainage appliance for wounds or the like, i.e. wound drains, implanted drains
    • A61M27/002—Implant devices for drainage of body fluids from one part of the body to another
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F11/00—Methods or devices for treatment of the ears or hearing sense; Non-electric hearing aids; Methods or devices for enabling ear patients to achieve auditory perception through physiological senses other than hearing sense; Protective devices for the ears, carried on the body or in the hand
    • A61F11/20—Ear surgery
    • A61F11/202—Surgical middle-ear ventilation or drainage, e.g. permanent; Implants therefor

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Veterinary Medicine (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Public Health (AREA)
  • General Health & Medical Sciences (AREA)
  • Otolaryngology (AREA)
  • Animal Behavior & Ethology (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Vascular Medicine (AREA)
  • Physics & Mathematics (AREA)
  • Psychology (AREA)
  • Biophysics (AREA)
  • Acoustics & Sound (AREA)
  • Surgery (AREA)
  • Ophthalmology & Optometry (AREA)
  • Anesthesiology (AREA)
  • Hematology (AREA)
  • Surgical Instruments (AREA)
  • Prostheses (AREA)

Abstract

Surgical device for the permanent draining and reventilation of sinuses in adults and children who are chronically affected. The drain is made of silicone or polyethylene. T-shaped wings provided at both ends of the tube enable to hold the tube in place. The external wings are provided for removing the aerator by means of a clamp. The gage of the aerator, its length and its wings may vary as a function of the age of the patient, the causal affection, the necessity for endoscopic examination and the personal conveniences of the operators. The setting in place is carried out with an insertion member wherein the aerator with its inner wings folded is located. The aerator is pushed into the sinus up to a stop; the inner wings are then extended and the insertion member can be removed. The device of the invention is then in place. The device, according to the invention, is intended to the invisible and permanent draining-aeration of sinuses and to their regular endoscopic examination.

Description

DESCRIPTION
La présente invention concerne un dispositif chirurgical permettant le drainage permanent des sinus maxillaires atteints d'affection chronique.DESCRIPTION
The present invention relates to a surgical device for permanent drainage of the maxillary sinuses suffering from chronic disease.

Le drainage des sinus est traditionnellement effectué à l'aide d'un drain qui ressort par l'orifice narinaire et permet des soins d'une durée variable de 7 à 15 jours, mais non permanente. The sinus drainage is traditionally carried out using a drain which emerges through the nasal opening and allows care of variable duration from 7 to 15 days, but not permanent.

Le dispositif selon l'invention, permet de remédier à ces inconvénients. The device according to the invention overcomes these drawbacks.

Il est, en effet, de petite taille, invisible en dehors des moyens d'examens rhinologiques des médecins spécialistes. Il peut, en outre, être laissé en place, le temps suffisant à la guérison de l'affection sinusienne traitée, plusieurs mois, si besoin. It is, in fact, small, invisible outside the means of rhinological examinations of specialist doctors. It can, moreover, be left in place, the time sufficient for the healing of the treated sinus condition, several months, if necessary.

Sa mise en place, à deux mains, ne présente aucune difficulté pour un opérateur entrainé. Its installation, with two hands, presents no difficulty for a trained operator.

Selon une forme de présentation préferentielle, l'invention proposée permet au médecin de vérifier par un moyen endoscopique, au-travers du modèle choisi à cette fin, l'état du sinus ainsi traité. According to a preferential form of presentation, the proposed invention allows the doctor to verify by endoscopic means, through the model chosen for this purpose, the state of the sinus thus treated.

Dans la forme de réalisation courante, l'invention est fabriquée en silicone ou en polyéthylène. In the current embodiment, the invention is made of silicone or polyethylene.

L'invention comporte un tube creux, de rayon égal à 15 mm, d'une longueur de 6 mm (Fig 1) et d' Y2 mm d'épaisseur. The invention comprises a hollow tube, with a radius equal to 15 mm, with a length of 6 mm (Fig 1) and a thickness of Y2 mm.

A l'une des extremités du tube, sont branchés des ailerons, ouverts à 90 , au nombre de 2, d' 1 mm d'épaisseur et de 3 mm de long. At one end of the tube, ailerons are connected, open at 90, 2 in number, 1 mm thick and 3 mm long.

Ces ailerons permettent le maintien de l'aérateur dans le sinus par un phénomène de butée sur la face interne de la paroi intersinuso-nasale. These fins allow the aerator to be held in the sinus by a phenomenon of abutment on the internal face of the intersinuso-nasal wall.

(Fig 2).(Fig 2).

Sur l'extremité du tube sont branchés d'autres ailerons identiques, au nombre de 2, permettant le maintien de l'aérateur dans la position de mise en place et évitant ainsi sa fuite dans la cavité du sinus, lors du mouchage, par exemple. Le grand axe de ces ailerons sera disposé dans l'axe horizontal du méat inférieur. On the end of the tube are connected other identical fins, 2 in number, allowing the aerator to be maintained in the position of installation and thus preventing it from leaking into the sinus cavity, during wetting, for example . The major axis of these fins will be arranged in the horizontal axis of the lower meatus.

Les ailerons situés dans la fosse nasale, permettent, en outre, le reperage de l'invention et, le moment venu, son retrait à l'aide d'une simple pince à préhension. (Fig 4). The fins located in the nasal cavity also allow the location of the invention and, when the time comes, its removal using a simple gripper. (Fig 4).

Selon plusieurs variantes, la longueur du tube peut être diminuée ou augmentée, ainsi que sa section. L'augmentation de cette dernière permettrait le passage d'un instrument de contrôle endoscopique. According to several variants, the length of the tube can be reduced or increased, as well as its section. The increase in the latter would allow the passage of an endoscopic control instrument.

Selon plusieurs variantes, le nombre, la longueur et l'épaisseur des ailerons peuvent varier, en fonction de l'age, de l'affection causale et des choix personnels des opérateurs intéressés par cette invention pour le traitement de leurs patients. According to several variants, the number, length and thickness of the fins can vary, depending on the age, the causal condition and the personal choices of the operators interested in this invention for the treatment of their patients.

Selon plusieurs variantes, l'angle de raccordement des ailerons au tube peut varier, permettant aini l'inclinaison de l'invention plus ou moins vers
L'arrière. Ceci facilite alors la ventilation du sinus traité à l'aide de l'invention par l'air chaud expiré par le nez.According to several variants, the angle of connection of the fins to the tube can vary, thus allowing the inclination of the invention more or less towards
The back. This then facilitates ventilation of the sinus treated using the invention by the hot air exhaled through the nose.

Selon une variante, une menbrane obturative, imperméable à l'eau, peut fermer le tube sur son orifice nasal, en restant perméable à l'air. Cette variante permet les baignades, la natation et les activités aquatiques. According to a variant, a obturating, waterproof menbran can close the tube on its nasal orifice, while remaining breathable. This variant allows bathing, swimming and aquatic activities.

Le dispositif de mise en place de l'invention se compose d'un trocard permettant de perforer la paroi osseuse séparant sinus et fosse nasale par laquelle se pratique l'opération, sans contrôle de la vue. Le geste est effectué comme une "ponction de sinus", dans le méat inférieur. The positioning device of the invention consists of a trocar making it possible to perforate the bone wall separating the sinus and nasal fossa through which the operation is carried out, without visual control. The gesture is performed as a "sinus puncture", in the inferior meatus.

Le dispositif de mise en place comporte un mandrin disposé à l'intérieur du trocard qui permet de pousser l'aérateur jusqu'à l'ouverture des ailerons internes. Un dispositif de butée de type " à fente" creusée dans le trocard, dont l'extrémité fait butée au mandrin, assure l'opérateur après la poussée de ce mandrin, que l'aérateur sinusien est bien en place et lui évite de pousser trop loin le mandrin au risque de faire alors basculer l'aérateur dans le sinus, sans possibilité de le récupérer. Un dispositif à type d'ailette arrêtera le le mouvement à l'intérieur de la fente du trocard lorsqu'elle rencontrera la butée destinée à laisser passer les ailerons internes de l'invention ainsi qu'une partie du tube de l'aérateur. The positioning device comprises a mandrel arranged inside the trocar which makes it possible to push the aerator until the opening of the internal fins. A "slit" type stop device hollowed out in the trocar, the end of which stops at the mandrel, assures the operator after the mandrel has been pushed, that the sinus aerator is in place and prevents it from pushing too much away from the mandrel at the risk of tipping the aerator into the sinus, without the possibility of recovering it. A fin type device will stop the movement inside the trocar slot when it meets the stop intended to allow the internal fins of the invention to pass as well as part of the aerator tube.

Une fois obtenue l'ouverture des ailerons internes avec la sécurité de la butée, l'opérateur retir le trocard; l'invention se maintient en place par la retenue des ailerons internes sur la paroi osseuse interne; le trocard glisse le long de l'invention et, lorsque celle-ci est libérée, les ailerons externe s'ouvrent à leur tour. Once the internal fins have been opened with the safety of the stop, the operator removes the trocar; the invention is kept in place by retaining the internal fins on the internal bone wall; the trocar slides along the invention and, when it is released, the external fins open in turn.

L'ouverture des ailerons n'est dûe à aucun mécanisme spécifique. C'est le moulage dans cette position et dans le matériau utilisé qui leur donne cette forme définitive. The opening of the fins is not due to any specific mechanism. It is the molding in this position and in the material used which gives them this final shape.

Les ailerons seront mis en place en position repliée dans le trocard, par l'opérateur, avant le geste opératoire. (Fig 3). Une fois libérés, ces ailerons reprendront leur forme originelle, déployés. The ailerons will be placed in the folded position in the trocar, by the operator, before the operating gesture. (Fig 3). Once released, these fins will resume their original shape, deployed.

Le dispositif selon l'invention est particulièrement destiné au drainage-aération permanent et invisible des sinus atteints d'affection chronique ou sub-aigue.  The device according to the invention is particularly intended for permanent and invisible drainage-aeration of the sinuses suffering from chronic or subacute affection.

Claims (9)

REVENDICATIONS 1) Aérateurs sinusien pour drainer de façon permanente et invisible les sinus maxillaires et pour assurer leur ventilation chez les patients atteints d'affections sub-aigues ou chroniques, caractérisé en ce qu'il comporte un tube creux en silicone ou polyéthylène à type de drain, qui est introduit dans le sinus à traiter et reste à cheval sur la paroi osseuse permettant ainsi la communication de la cavité sinusienne avec la fosse nasale et vis versa. 1) Sinus aerators to permanently and invisible drain the maxillary sinuses and to ensure their ventilation in patients with subacute or chronic conditions, characterized in that it comprises a hollow tube made of silicone or polyethylene with type of drain , which is introduced into the sinus to be treated and remains astride the bone wall, thus allowing communication between the sinus cavity and the nasal cavity and vice versa. 2) Aérateur sinusien selon la revendication 1 caractérisé en ce qu'il comprend des ailerons raccordés au tube, ouverts à 900, à chaque extrémité du tube, permettant le maintien du dispositif. 2) sinus ventilator according to claim 1 characterized in that it comprises fins connected to the tube, open at 900, at each end of the tube, allowing the maintenance of the device. 3) Aérateur sinusien selon la revendication 1 caractérisé en ce que la section du tube, prévue dans le modèle courant à 3 mm, puisse varier jusqu'à permettre l'introduction d'un appareil endoscopique pour contrô#e##l#état. rt du sinus ainsi traité. 3) Sinus ventilator according to claim 1 characterized in that the section of the tube, provided in the current model at 3 mm, can vary until allowing the introduction of an endoscopic device for checking # e ## l # state. rt of the sinus thus treated. 4) Aérateur sinusien selon la revendication 2 caractérisé en ce que l'angle de raccordement ou d'ouverture des ailerons est tel qu'il permette la rotation de l'invention dans un axe plus saggital, l'orifice nasal du tube regardant vers l'arrière et assurant l'aération des sinus par l'air chaud expiré dans les fosses nasales. 4) sinus aerator according to claim 2 characterized in that the angle of connection or opening of the fins is such that it allows the rotation of the invention in a more saggital axis, the nasal orifice of the tube looking towards the 'rear and ensuring ventilation of the sinuses by the hot air exhaled in the nasal cavity. 5) Aérateur sinusien selon les revendications 1, 2, 3 et 4 caractérisé en ce qu'il comprend une menbrane microporeuse imperméable à l'eau jusqu'à six mètres de profondeur et perméable à l'air. 5) A sinus aerator according to claims 1, 2, 3 and 4 characterized in that it comprises a microporous menbrane impermeable to water up to six meters deep and permeable to air. 6) Dispositif de mise en place de l'aérateur sinusien selon les revendications 1, 2, 3, 4 et 5 caractérisé en ce qu'il comprend un trocard à l'intérieur duquel est disposé un mandrin qui permet de pousser l'aérateur jusqu'à l'ouverture des ailerons internes. Ce dispositif est conçu aux dimensions de l'aérateur ou de ses variantes selon la section et le calibre. 6) Device for positioning the sinus aerator according to claims 1, 2, 3, 4 and 5 characterized in that it comprises a trocar inside which is arranged a mandrel which makes it possible to push the aerator up to 'when opening the internal fins. This device is designed to the dimensions of the aerator or its variants depending on the section and the size. 7) Dispositif selon la revendication 6 caractérisé en ce que le mandrin présente une longueur égale à celle du trocard diminuée de celle de l'aérateur replié. 7) Device according to claim 6 characterized in that the mandrel has a length equal to that of the trocar reduced by that of the folded aerator. 8) Dispositif selon la revendication 6 et 7 caractérisé en ce qu'il comprend un dispositif de type "à fente" creusée dans le trocard, dont l'extrimité fait butée au mandrin, ce qui assure l'opérateur, après la poussée de ce mandrin, que l'aérateur sinusien est bien en place. Ce dispositif de butée est situé à l'extrémité de la fente à au moins 3 mm du début de la fente, longueur des ailerons internes et à au plus 9 mm du début de la fente, longueur du tube et des ailerons internes. 8) Device according to claim 6 and 7 characterized in that it comprises a device of the "slit" type dug into the trocar, the end of which abuts the mandrel, which ensures the operator, after the push of this mandrel, that the sinus ventilator is in place. This stop device is located at the end of the slot at least 3 mm from the start of the slot, length of the internal fins and at most 9 mm from the start of the slot, length of the tube and of the internal fins. 9) Dispositif selon les revendications 6, 7 et 8 caractérisé en ce qu'il comprend un dispositif à type d'ailette. Celui-ci s'arrête dans son mouvement à l'intérieur de la fente du trocard lorsqu'elle rencontre la butée destinée à laisser passer les ailerons internes de l'invention ainsi qu'une partie du tube de l'aérateur.  9) Device according to claims 6, 7 and 8 characterized in that it comprises a fin type device. This stops in its movement inside the trocar slot when it meets the stop intended to allow the internal fins of the invention to pass as well as part of the aerator tube.
FR8606640A 1986-05-07 1986-05-07 PERMANENT TRANS-NASAL SINUSIAN AERATOR IN DOUBLE "T" Expired FR2598312B1 (en)

Priority Applications (7)

Application Number Priority Date Filing Date Title
FR8606640A FR2598312B1 (en) 1986-05-07 1986-05-07 PERMANENT TRANS-NASAL SINUSIAN AERATOR IN DOUBLE "T"
PCT/FR1987/000106 WO1987006817A1 (en) 1986-05-07 1987-04-01 Device for draining the maxillary sinus
EP87902115A EP0267923A1 (en) 1986-05-07 1987-04-01 Device for draining the maxillary sinus
JP62502218A JPH01500325A (en) 1986-05-07 1987-04-01 Venting device for continuous drainage of the maxillary sinus and its installation method
AU71676/87A AU596836B2 (en) 1986-05-07 1987-04-01 Device for draining the maxillary sinus
DK003488A DK3488A (en) 1986-05-07 1988-01-06 SINUS VENTILATION BEARS FOR THE PERMAN T DRAENAGE OF THE CAAE CONTAINERS
US07/361,729 US4964850A (en) 1986-05-07 1989-06-02 Method for treating trans-nasal sinus afflictions using a double t-shaped trans-nasal aerator

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
FR8606640A FR2598312B1 (en) 1986-05-07 1986-05-07 PERMANENT TRANS-NASAL SINUSIAN AERATOR IN DOUBLE "T"

Publications (2)

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FR2598312A1 true FR2598312A1 (en) 1987-11-13
FR2598312B1 FR2598312B1 (en) 1989-09-29

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Application Number Title Priority Date Filing Date
FR8606640A Expired FR2598312B1 (en) 1986-05-07 1986-05-07 PERMANENT TRANS-NASAL SINUSIAN AERATOR IN DOUBLE "T"

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EP (1) EP0267923A1 (en)
JP (1) JPH01500325A (en)
AU (1) AU596836B2 (en)
DK (1) DK3488A (en)
FR (1) FR2598312B1 (en)
WO (1) WO1987006817A1 (en)

Cited By (1)

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EP2024000A2 (en) * 2006-05-23 2009-02-18 Entrigue Surgical, Inc. Sinus tube

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US4968296A (en) * 1989-12-20 1990-11-06 Robert Ritch Transscleral drainage implant device for the treatment of glaucoma
US5246455A (en) * 1991-05-17 1993-09-21 Micromedics, Inc. Middle meatal antrostomy ventilation tube
NL9101898A (en) * 1991-11-14 1993-06-01 Marinus Johannes Hageman DRUM TUBE.
US5300119A (en) * 1992-01-10 1994-04-05 Hansa Medical Products, Inc. Delivery system
AU779087B2 (en) * 1992-12-31 2005-01-06 Hansa Medical Products, Inc. Insertion device
SE505552C2 (en) * 1995-12-22 1997-09-15 Atos Medical Ab Method for mounting a flanged tubular body
CN1872004A (en) * 2005-12-28 2006-12-06 张扬 Implantable divider, and matched posting set in use for implanting the divider
DE202010014828U1 (en) 2010-10-29 2011-01-05 Primed Halberstadt Medizintechnik Gmbh Device in the form of a tracheostomy tube or a prosthesis for restoring the voice for insertion into a tracheostoma
DE102010049896B4 (en) 2010-10-29 2016-11-24 Primed Halberstadt Medizintechnik Gmbh Device in the form of a tracheostomy tube or a prosthesis for restoring the voice for insertion into a tracheostoma
DE202013009822U1 (en) 2013-11-27 2014-02-11 Primed Halberstadt Medizintechnik Gmbh Device in the form of an atraumatic insertion aid for inserting a tracheostomy tube into a tracheostoma

Citations (3)

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US3982545A (en) * 1974-08-22 1976-09-28 Herbert Silverstein Middle ear aeration and implant
US4015607A (en) * 1976-01-23 1977-04-05 Wright Iii J William Eustachian tube prosthesis and method for its implantion
EP0063198A1 (en) * 1980-12-24 1982-10-27 Carbomedics Inc. Plug-type percutaneous access device for fluids

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US3948271A (en) * 1972-11-07 1976-04-06 Taichiro Akiyama Drain for the eardrum and apparatus for introducing the same

Patent Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3982545A (en) * 1974-08-22 1976-09-28 Herbert Silverstein Middle ear aeration and implant
US4015607A (en) * 1976-01-23 1977-04-05 Wright Iii J William Eustachian tube prosthesis and method for its implantion
EP0063198A1 (en) * 1980-12-24 1982-10-27 Carbomedics Inc. Plug-type percutaneous access device for fluids

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP2024000A2 (en) * 2006-05-23 2009-02-18 Entrigue Surgical, Inc. Sinus tube
EP2024000A4 (en) * 2006-05-23 2011-11-16 Entrigue Surgical Inc Sinus tube

Also Published As

Publication number Publication date
AU7167687A (en) 1987-12-01
EP0267923A1 (en) 1988-05-25
DK3488D0 (en) 1988-01-06
JPH01500325A (en) 1989-02-09
DK3488A (en) 1988-01-06
WO1987006817A1 (en) 1987-11-19
FR2598312B1 (en) 1989-09-29
AU596836B2 (en) 1990-05-17

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