FR2612402A1 - Sinus probe with multiple channels - Google Patents

Sinus probe with multiple channels Download PDF

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Publication number
FR2612402A1
FR2612402A1 FR8703756A FR8703756A FR2612402A1 FR 2612402 A1 FR2612402 A1 FR 2612402A1 FR 8703756 A FR8703756 A FR 8703756A FR 8703756 A FR8703756 A FR 8703756A FR 2612402 A1 FR2612402 A1 FR 2612402A1
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France
Prior art keywords
probe
sinus
channels
balloon
place
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Withdrawn
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FR8703756A
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French (fr)
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Individual
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Individual
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Priority to FR8703756A priority Critical patent/FR2612402A1/en
Publication of FR2612402A1 publication Critical patent/FR2612402A1/en
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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
    • A61B17/12131—Occluding by internal devices, e.g. balloons or releasable wires characterised by the type of occluding device
    • A61B17/12136—Balloons
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
    • A61B17/12099—Occluding by internal devices, e.g. balloons or releasable wires characterised by the location of the occluder
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/24—Surgical instruments, devices or methods, e.g. tourniquets for use in the oral cavity, larynx, bronchial passages or nose; Tongue scrapers

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  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Vascular Medicine (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Reproductive Health (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Endoscopes (AREA)

Abstract

This medical device allows collection of elements from inside the maxillary sinuses suffering from chronic disease in adults and children. The probe is made of silicone, polyethylene or PTFE (GORETEX< TM >), or any other new material of the same type. An inflatable balloon included in its walls allows the probe to be held after fitting. The probe is hollowed with at least three channels, each allowing study of a different function. Fitting is performed through a double-T transnasal sinus aerator, under endonasal fibroscope monitoring. A graduated reference mark allows correct positioning of the probe to be ensured.

Description

DESCRIPTION
La présente invention concerne un dispositif médical permettant de recueillir des éléments d'étude, principalement à l'intsrieur des sinus maxillaires atteints d'affection chronique ou subaigue.DESCRIPTION
The present invention relates to a medical device for collecting study material, mainly inside the maxillary sinuses with chronic or subacute disease.

L'étude fonctionnelle des sinus est traditionnellement effectuée à l'a1- de d'une sonde simple à manométrie qui ne peut être laissée en place durablement. The functional study of the sinuses is traditionally carried out using a simple manometric probe which cannot be left in place for a long time.

Le dispositif selon l'invention permet d'améliorer cet état de chose. 11 peut en effet être laissé en place, le temps suffisant pour recueillir les éléments d'étude souhaités et permet de multiplier les critères d'examen : La manométrie, mais aussi l'étude de la composition gazeuse des sinus et l'étude de la composition liquidienne et muqueuse des sinus. The device according to the invention makes it possible to improve this state of affairs. 11 can in fact be left in place, sufficient time to collect the desired study elements and allows the examination criteria to be multiplied: Manometry, but also the study of the gas composition of the sinuses and the study of the fluid and mucous composition of the sinuses.

La mise en place de l'invention ne présente aucune difficulté particulière : Elle est effectuée au travers d'un drain permanent et invisible en double T sous contrôle fibroscopique endo-nasal. The implementation of the invention does not present any particular difficulty: It is carried out through a permanent and invisible double T drain under endonasal fibroscopic control.

Un ballonnet gonflable, disposé dans la paroi de la sonde permet le maintien en place du dispositif, au contact du drain. Une fois gonflé, ce ballonnet permet, en outre, d'assurer l'étanchéité du système en annulant toute fuite d'air à ce niveau. An inflatable balloon, placed in the wall of the probe, allows the device to be held in place, in contact with the drain. Once inflated, this balloon also makes it possible to seal the system by eliminating any air leakage at this level.

Dans sa forme de réalisation courante, l'invention est fabriquée en silicone ou en polyéthylène. Selon une forme préférentielle, elle peut être fabri quée dans un produit nouveau, type PTFE pour diminuer les coudures. In its current embodiment, the invention is made of silicone or polyethylene. According to a preferred form, it can be manufactured in a new product, such as PTFE to reduce bends.

L'invention comporte un tube plein, d'un diamètre de 4,5 mm, creusé de trois canaux éliptiques, ronds, ovales ou de toute autre forme, prenant place dans la section du tube, sans communiquer les uns avec les autres et séparés d'au moins 0,125 mm de matière pleine. The invention comprises a solid tube, with a diameter of 4.5 mm, hollowed out of three elliptical channels, round, oval or any other shape, taking place in the section of the tube, without communicating with each other and separate at least 0.125 mm of solid material.

La paroi du tube, d'une épaisseur régulière de 0,25 mm au moins, est dédoublé à environ 2,5 mm de son extrémité distale pour laisser place à un ballonnet gonflable à l'air ou à l'eau. Ce ballonnet comblera l'espace d'environ 0,5 mm, de part et d'autre des parois de la sonde, la séparant du drain en double T. Le volume et la longueur du ballonnet varieront en fonction de la dimension du drain en double T. La longueur prévue est de 6 mm pour un volume d'environ 1,5 cm3. The wall of the tube, having a regular thickness of at least 0.25 mm, is split at about 2.5 mm from its distal end to make room for a balloon inflatable with air or water. This balloon will fill the space of approximately 0.5 mm, on either side of the walls of the probe, separating it from the double T drain. The volume and length of the balloon will vary according to the size of the drain in double T. The expected length is 6 mm for a volume of approximately 1.5 cm3.

A l'extremité proximale de la sonde, dans sa partie externe, les canaux inclus dans le tube de silicone se séparent en se prolongeant en dehors de la sonde. Chacun est alors muni d'un système de clampage pennettant de le faire fonctionner seul, dans le but d'éviter les fuites d'air, en cas de mesure de pression. At the proximal end of the probe, in its external part, the channels included in the silicone tube separate and extend outside the probe. Each is then provided with a clamping system allowing it to operate on its own, in order to avoid air leaks, in the event of a pressure measurement.

Chaque tube est alors prolongé à l'extérieur de la sonde, d'une longueur suffisante pour permettre le raccordement aux appareils de mesure utilisés manométrie, oxymétrie, aspirateur. Selon plusieurs variantes, la longueur de la sonde peut être diminuée ou augmentée, ainsi que sa section. L'augmentation de cette dernière peut être mise à profit pour la création d'un nouveau canal ou pour le passage d'un instrument de contrôle optique. Each tube is then extended outside the probe, of sufficient length to allow connection to the measuring devices used for manometry, oximetry, vacuum cleaner. According to several variants, the length of the probe can be reduced or increased, as well as its section. The increase in the latter can be used for the creation of a new channel or for the passage of an optical control instrument.

Selon plusieurs variantes, le nombre, la section des canaux, peuvent varier en fonction de l'âge des patients, de l'affection causale, des modalités de recherche et d'étude choisies ou des préférences des spécialistes intéresses
Selon une variante, des petits ailerons rabattables, situés à l'extrémité distale de la sonde, juste en avant et en arrière du ballonnet, seront insérés pour faciliter la mise en place et maintien du dispositif.According to several variants, the number, the section of the channels, can vary according to the age of the patients, the causal affection, the research and study methods chosen or the preferences of the specialists concerned.
According to a variant, small folding fins, located at the distal end of the probe, just in front of and behind the balloon, will be inserted to facilitate the installation and maintenance of the device.

Les ailerons internes, situés dans le sinus, pourront recevoir des capteurs supplémentaires : phonique ou pléthysmographique. The internal fins, located in the sinus, can receive additional sensors: phonic or plethysmographic.

La mise en place de l'invention nécéssite la pose préalable d'un drain en double T., dont les variations de section s'imposeront au présent dispositif. Stérilisable, grâce aux matériaux de fabrication choisis, l'invention peut être réutilisable. The implementation of the invention requires the prior installation of a double T drain, the section variations of which will be imposed on the present device. Sterilizable, thanks to the materials of manufacture chosen, the invention can be reused.

Cependant, après utilisation sur étude de 24 heures, il est préférable de jeter le matériel et de le considérer à usage unique. However, after 24 hour study use, it is best to discard the material and consider it single use.

Le dispositif selon l'invention est particulièrement destiné à l'examen des différentes fonctions des sinus, à l'étude de tout autre organe ou cavité à contenu liquidien ou gazeux, grâce à ce système de canaux multiples. The device according to the invention is particularly intended for the examination of the various functions of the sinuses, for the study of any other organ or cavity with liquid or gas content, thanks to this system of multiple channels.

Le dispositif selon l'invention peut, enfin, être destiné au traitement des sinus qui ont nécéssité la pose d'un drain en double T. The device according to the invention can, finally, be intended for the treatment of sinuses which have required the installation of a double T drain.

Mise en place en fin d'intervention, la sonde permet alors de réaliser par les canaux, des lavages - aspirations des sinus opérés. Placed at the end of the operation, the probe then makes it possible to carry out through the canals, washing and aspirations of the operated sinuses.

Après quelques jours de ce traitement, l'utilisation initialement décrite, reprend sa place. After a few days of this treatment, the use initially described resumes its place.

Claims (3)

REVENDICATIONS 1 ) Sonde sinusienne a plusieurs canaux pour explorer, en même temps ou sépa- remuent, différentes fonctions des sinus maxillaires, caractérisée en ce qu'elle comporte un tube plein en silicone, polyéthylène ou toute autre substance analogue, creusé d'au moins trois canaux. 1) Sinus probe with several channels for exploring, at the same time or separately, different functions of the maxillary sinuses, characterized in that it comprises a full tube of silicone, polyethylene or any other similar substance, hollowed out of at least three canals. 2 )- Sonde sinusienne a plusieurs canaux selon la revendication 1 caractérisée en ce que sa section est variable et notamment de 4,5 mm. 2) - Sine probe has several channels according to claim 1 characterized in that its section is variable and in particular 4.5 mm. 30) Sonde sinusienne à plusieurs canaux selon la revendication 1 caractérisée en ce que les canaux sont de forme ronde, ovale, éliptique ou biconvexe. 30) Sinus probe with several channels according to claim 1 characterized in that the channels are round, oval, elliptical or biconvex. 40)- Sonde sinusienne selon les revendications 1, 2 et 3 caractérisée en ce qu'elle est équipée d'un dispositif de maintien en place, constitué par un ballonnet gonflable a l'air ou a l'eau, en caoutchouc fin ou toute autre matière extensible, inséré dans la paroi de la sonde et la circonscrivant compléLement. 40) - sinus probe according to claims 1, 2 and 3 characterized in that it is equipped with a holding device in place, consisting of an inflatable balloon with air or water, fine rubber or any another stretchable material, inserted into the wall of the probe and completely circumscribing it. 5 )- Sonde sinusienne selon la revendication 4, caracterisée en ce que la longueur et le volume de gonflage du ballonnet varient en fonction des variations de la sonde. 5) - Sinus probe according to claim 4, characterized in that the length and inflation volume of the balloon vary depending on the variations of the probe. 6 )- Sonde sinusienne selon les revendications 1,2,3 et 4 caractérisée en ce qu'a son extrémité proximale, les canaux se prolongent individuellement au sortir de la sonde pour se raccorder aux appareils de mesure y désignés et sont munis d'un système de clampage. 6) - sinus probe according to claims 1,2,3 and 4 characterized in that at its proximal end, the channels extend individually out of the probe to connect to the measuring devices designated therein and are provided with a clamping system. 70)- Sonde sinusienne selon les revendications 1,2,3,4,5 et 6 caractérisée en ce qu'elle est equipée d'ailerons situés a son extrêmité distale, de part et d'autre du ballonnet pour son maintien en place, en vue d'une utilisation prolongée, ces ai lerons internes recevant facultativement différents capteurs de type microphonique ou pléthysmographique. 70) - sinus probe according to claims 1,2,3,4,5 and 6 characterized in that it is equipped with fins located at its distal end, on either side of the balloon for its retention in place, with a view to prolonged use, these internal ailerons optionally receiving various microphonic or plethysmographic type sensors.
FR8703756A 1987-03-18 1987-03-18 Sinus probe with multiple channels Withdrawn FR2612402A1 (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
FR8703756A FR2612402A1 (en) 1987-03-18 1987-03-18 Sinus probe with multiple channels

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Application Number Priority Date Filing Date Title
FR8703756A FR2612402A1 (en) 1987-03-18 1987-03-18 Sinus probe with multiple channels

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FR2612402A1 true FR2612402A1 (en) 1988-09-23

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FR8703756A Withdrawn FR2612402A1 (en) 1987-03-18 1987-03-18 Sinus probe with multiple channels

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US9005284B2 (en) 2010-04-15 2015-04-14 Entellus Medical, Inc. Method and apparatus for treating dilating the ethmoid infundibulum

Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US2854982A (en) * 1958-01-22 1958-10-07 Vito V Pagano Nasopharyngeal tube
US3049125A (en) * 1960-03-28 1962-08-14 Kriwkowitsch George Nose packing device
US3848602A (en) * 1972-04-19 1974-11-19 Gutnick Morton Abortion facilitating device and process
US4587975A (en) * 1984-07-02 1986-05-13 Cardiac Pacemakers, Inc. Dimension sensitive angioplasty catheter

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US2854982A (en) * 1958-01-22 1958-10-07 Vito V Pagano Nasopharyngeal tube
US3049125A (en) * 1960-03-28 1962-08-14 Kriwkowitsch George Nose packing device
US3848602A (en) * 1972-04-19 1974-11-19 Gutnick Morton Abortion facilitating device and process
US4587975A (en) * 1984-07-02 1986-05-13 Cardiac Pacemakers, Inc. Dimension sensitive angioplasty catheter

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US9005284B2 (en) 2010-04-15 2015-04-14 Entellus Medical, Inc. Method and apparatus for treating dilating the ethmoid infundibulum

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