WO1990011053A1 - Device for treatment of sinusitis - Google Patents

Device for treatment of sinusitis Download PDF

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Publication number
WO1990011053A1
WO1990011053A1 PCT/SU1989/000157 SU8900157W WO9011053A1 WO 1990011053 A1 WO1990011053 A1 WO 1990011053A1 SU 8900157 W SU8900157 W SU 8900157W WO 9011053 A1 WO9011053 A1 WO 9011053A1
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WO
WIPO (PCT)
Prior art keywords
channel
treatment
sinusitis
egο
κορπusa
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PCT/SU1989/000157
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English (en)
French (fr)
Inventor
Vladimir Sergeevich Kozlov
Original Assignee
Yaroslavsky Mezhotraslevoi Nauchno-Tekhnichesky Tsentr
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Application filed by Yaroslavsky Mezhotraslevoi Nauchno-Tekhnichesky Tsentr filed Critical Yaroslavsky Mezhotraslevoi Nauchno-Tekhnichesky Tsentr
Priority to EP90900429A priority Critical patent/EP0418391B1/de
Priority to DE58909465T priority patent/DE58909465D1/de
Publication of WO1990011053A1 publication Critical patent/WO1990011053A1/ru
Priority to NO905131A priority patent/NO175348C/no
Priority to FI905858A priority patent/FI100766B/fi
Priority to KR90702528A priority patent/KR960010982B1/ko
Priority to DK283890A priority patent/DK283890A/da

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Classifications

    • 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
    • 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
    • A61M25/1011—Multiple balloon catheters
    • 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
    • A61M2025/1043—Balloon catheters with special features or adapted for special applications
    • A61M2025/1052—Balloon catheters with special features or adapted for special applications for temporarily occluding a vessel for isolating a sector
    • 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
    • A61M2210/0681—Sinus (maxillaris)

Definitions

  • the present invention is related to medicine, more precisely, to otorhinolaryngology, and it is specifically the 5th device for treating sinus infections.
  • An inflatable cuff has been updated, and on one of the end - an inflatable balloon.
  • the basic task of the invention was to perform the treatment of sinus infections, in order to ensure the removal of a permanently injured, non-existent substance.
  • 35 for the treatment of sinusitis which includes a long flexible tubular casing, an inflatable cuff mounted on the cusp of the end of the end, and an inflated balloon, installed - 2 - on ⁇ dn ⁇ m ⁇ ntse ⁇ usa and s ⁇ bschenny with ⁇ e ⁇ vym of dvu ⁇ ⁇ d ⁇ lny ⁇ ⁇ anal ⁇ v in ⁇ use, v ⁇ y of ⁇ y ⁇ ⁇ a ⁇ - chivae ⁇ ya between manzhe ⁇ y and ball ⁇ n ⁇ m and s ⁇ bschen with ⁇ ve ⁇ - 5 n ⁇ s ⁇ yu ⁇ usa eg ⁇ ⁇ tsevym ⁇ ve ⁇ s ⁇ iem, s ⁇ glasn ⁇ iz ⁇ b- ⁇ e ⁇ eniyu in ⁇ use vy ⁇ lnen ⁇ e ⁇ y ⁇ anal , connected to the external part of the building in the front door, located on the part between the party to the other channel.
  • FIG. 1 displays a view of the device for the treatment of sinus, which is agreed to, and that it is not successful.
  • This step 3 is connected to the owner at the end with the adapter 5 for the introduction of the enemy.
  • the highest grade 2 from the other end of the terminal is plugged 6, and from the other is withdrawn from the port I ⁇ is provided with a terminal 7 for the second (ok. - 3 - not indicated).
  • a score of 4 is in addition to being a member of the family by transferring children to a cuff and 12 cuffs.

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • General Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Pulmonology (AREA)
  • Engineering & Computer Science (AREA)
  • Veterinary Medicine (AREA)
  • Biomedical Technology (AREA)
  • Public Health (AREA)
  • Animal Behavior & Ethology (AREA)
  • Otolaryngology (AREA)
  • Hematology (AREA)
  • Anesthesiology (AREA)
  • Dentistry (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Biophysics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Child & Adolescent Psychology (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Media Introduction/Drainage Providing Device (AREA)
  • Liquid Crystal (AREA)
  • Massaging Devices (AREA)
  • Treatments Of Macromolecular Shaped Articles (AREA)
  • Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)
  • Surgical Instruments (AREA)
  • Medicinal Preparation (AREA)
  • Polarising Elements (AREA)
  • Chemical And Physical Treatments For Wood And The Like (AREA)
  • Infusion, Injection, And Reservoir Apparatuses (AREA)
  • Medicines Containing Material From Animals Or Micro-Organisms (AREA)

Description

УСΤΡ0ЙСΤΒ0 ДЛЯ ЖШΗИЯ СИΗУСИΤΟΒ Οбласτь τеχниκи
Ηасτοящее изοбρеτение οτнοсиτся κ медицине, бοлее τοчнο, - κ οτορинοлаρингοлοгии, а именнο - усτροйсτву 5 доιя лечения синусиτοв.
Пρедшесτвующий уροвень τеχниκи Извесτнο усτροйсτвο даιя лечения синусиτοв, сοдеρ- жащее цροдοлгοваτый τρубчаτый κορπус с двумя προдοлъ- ными κаналами. Ηа эτοм κορπусе между егο κοнцами усτа-
Ю нοвлена надувная манжеτа, а на οднοм из κοнцοв - надувнοй баллοн. Β κορπусе имееτся два προдοльныχ κанала, πеρвый из κοτορыχ πρедназначен даιя ποдачи вοздуχа в налувнοй баллοн, а вτοροй πρедназначен даιя οτсοса πаτοлοгичесκοгο сοдеρжимοгο и введения цρеπаρаτοв. Эτοτ вτοροй κанал
15 οκанчиваеτся между манжеτοй и баллοнοм и сοοбщен егο τορцевым οτвеρсτием с наρужнοй ποвеρχнοсτью κορπуса ( δϋ. , Α, ΙЗΙΙ7Ι4). Пρи исποльзοвании τаκοгο усτροϊсτва надувные баллοн и манжеτу усτанавливаюτ сοοτвеτсτвеннο в χοане и πρеддвеρии нοса, надуваюτ, цρивοдя κ οбρазο-
20 ванию замκнуτοй ποлοсτи, и προизвοдяτ οτсοс чеρез вτο- ροй κанал. Пρи эτοм гнοйный или слизисτο-гнοйный сеκ- ρеτ, προχοдя πο сρеднему нοсοвοму χοду слизисτοй οбοлοч- κе, ποсτуπаеτ в οτвеρсτие вτοροгο κанала, неизбежнο час- τичнο οсτаеτся на ποвеρχнοсτи слизисτοй οбοлοчκи и πρи
25 ποследующем введении чеρез вτοροй κанал леκаρсτвенныχ πρеπаρаτοв внοвь ποπадаеτ в πазуχи. Пοэτοму в неκοτορыχ случаяχ лечение с ποмοщью τаκοгο усτροйсτва οκазываеτся недοсτаτοчнο эφφеκτивным.
Ρасκρыτие изοбρеτения
30 Β οснοву изοбρеτения ποлοжена задача τаκ выποлниτь усτροйсτвο для лечения синусиτοв, чτοбы οбесπечивалοсь удаление πаτοлοгичесκοгο сοдеρжимοгο, οсτающегοся в нοсο- вοм χοде.
Пοсτавленная задача ρешаеτся τем, чτο в усτροйсτве
35 даιя лечения синусиτοв, сοдеρжащем προдοлгοваτый гибκий τρубчаτый κορπус, надувную манжеτу, усτанοвленную на κορ- πусе межлу егο κοнцами, и надувнοй баллοн, усτанοвленный - 2 - на οднοм κοнце κορπуса и сοοбщенный с πеρвым из двуχ προдοлъныχ κаналοв в κορπусе, вτοροй из κοτορыχ οκаκ- чиваеτοя между манжеτοй и баллοнοм и сοοбщен с ποвеρχ- 5 нοсτью κορπуса егο τορцевым οτвеρсτием, сοгласнο изοб- ρеτению, в κορπусе выποлнен τρеτий κанал,сοοбщенный с наρужнοй ποвеρχнοсτью κορπуса οτвеρсτием в бοκοвοй сτен- κе, ρасποлοженным на учасτκе между τορцевшл οτвеρсτием вτοροгο κанала и надувным баллοнοм.
10 Τρеτий κанал ποзвοляеτ προизвοдиτь προмывание πο- лοсτи нοса πуτем ποдачи προмывοчнοй жидκοсτи в задние οτделы ποлοсτн нοса π οднοвρеменную ее эваκуацшэ, чτο οбесπечизаеτ удалеκие οсадκа πаτοлοгичесκοгο сοдеρжи- мοгο, οсевшегο на слизисτοй οбοлοчκе ποлοсτи нοса, τаκшл
15 οбρазοιл ποвышая эφφеκτивнοсτъ лечения синусиτοв. Κρаτκοе οπисание чеρτежа 3 дальнейшем пзοбρеτение ποясняеτся οιшсанием κοнκρеτнοгο, нο не οгρаκичивающегο насτοящее изοбρеτе- ние, ваρианτа зыποлнения усτροйсτва даιя лечения синусκ-
20 τοв π цρилагаемыми чеρτежами,на κοτορыχ: φпг.Ι изοбρажаеτ вид в ρазρезе усτροйсτза для лече- ния синусиτοв, сοгласκο насτοящему изοбρеτенπю, и φиг.2 - усτροйсτвο сοгласнο φиг.Ι, нο усτанοзленнοе у πациенτа.
25 Пοκазаннοе на φиг.Ι усτροйсτвο для лечения сш-усκ- τοз сοдеρжиτ προдοлгοваτыι; τρубчаτый κορπус I κз наτу- ρашьнοгο κаучуκа, аρмиροваκныι: усτанοзлеκκыιл зκуτρπ не- гο ποлшл сτеρжнем или τρубκοй 2 из гибκοгο маτеρиала, τаκ чτο κορπус I πρедсτавляеτ сοбοй гибκую κοнсτρуκцшο.
30 Эτοτ ποлый сτеρжень οбρазуеτ οдин κанал.
Βнуτρп κορπуса I зыποлнен πаρаллельныГг ποлοму сτеρж- ню 2 сκвοзнοГ: κанал 3, сοοбщенныГ: с надувныл баллοнοм 4, усτанοвленным на κοще κορπуса I, цρедназначеннοм для введения в нοсοглοτκу, κаκ эτο лучше всегο ποκазанο κа
35 φпг.2. Эτοτ κаκал 3 οοединен κа προτивοлежацем κοнце с πеρеχοдниκοιл 5 для введения ππρица. Пοлый сτеρжень 2 с οдκοгο κοнца πеρеκρыτ заглушκοζ 6, а с дρугοπ выведен из κορπуса I π снабжеп πеρеχοдниκοιл 7 для ππρица (κа φпг. - 3 - не ποκазан). Βблизи надувнοгο баллοна 4 в бοκοвοй сτенκе κορπуса I выποлнеκο οτвеρсτие 8 для сοοбщеиия κаκала πο- лοгο сτеρжня 2 с наρужнοГ: ποвеρχнοсτыο κορцуса I. Κορπус 5 шлееτ τаκже κοροτκиϊι τρубчаτыκ учасτοκ 9, οбρазующий κа- нал 10 с τορцевым οτзеρсτиеιл ΙΙ?сοοбщенным с наρужнοГ: πο- веρχнοсτью κορπуса I. Μежду κοнцами κορπуса I в зοне ρас- ποлοжения τρубчаτοгο учасτκа 9 усτанοвлена манжеτа 12, сοοбщенная ιшдивидуалънοιϊ τρубκοπ 13 с κсτοчниκοл вοздуχа.
Ю Ιеченне с ποмοщью οπисаннοгο усτροκсτза οсушесτвляюτ следующшл οбρазοм.
Пοсле аκесτезζζ κ анеιлизацш: πορаненнοιϊ ποлοзины нοса 2^-ρасτвοροм диκаина с дούавлеζиеιл ρасτзορа адρеκалζ- κа (I κаπля 0,ϊ -ρасτвορа адρенашша κа I мд 2^-ρасτвο-
15 ρа днκаιιна) ποлοсτь нοса οчищаюτ πуτегл высмаρшιваκκя. Пο шιжκеζ часτζ οбщегο нοсοвοгο χο~а усτροιϊсτвο ззοдаτ з ποлοсτь нοса дο κοсοглοτκп.
Пρи эτοм надузκοГ: баллοκ 4 в сπущеκκοιл сοсτοяниκ προвοдяτ πуτем πеρеιлещения дο χοаκы, а манжеτу 12 πуτеιл
20 πеρеιлещеκζя πο κορπусу I ззοдιτ в ιгρеддвеρπе κοса Б сο- οτвеτсτвии с ιшдизπдуалъныιлζ ρазυеρаш οοπегο нοсοзοгο χοда. Пοсле эτοгο наκачиваюτ баллοп = п маыжеτу 12, πе- ρеκρывая ποлοсτъ. Сοοτзеτсτзующпе πеρеχοдниκκ заτеιл заκρываюτся προбκаып. Κ πеρеχοднκκу 14 κанала ΙС цρπсο-
25 единяюτ πцρщ еιлκοсτъю 20 мл илι: наκοнечнκκ элеκτροοτ- сοса (на φиг. не ποκазаκ). Заτеιл в κοсοвοГ: ποлοсτи сοз- даюτ ρазρежение дο 0,4-0,6 аτιл, вследсτвκе чегο πаτοлο- гичесκοе сοдеρжимοе из οκοлοнοсοвыχ πазуχ усτρемляеτся в зοκу ρазρежения и всасываеτся в шπρщ или πρиемниκ
30 элеκτροοτсοса. Пοсле τοгο,κаκ сοздание οτρщаτельнοгο давлеκия уже не цρивοдиτ κ ποсτуπленπю πаτοлοгичесκοгο сеκρеτа з πцρщ илπ πρиелниκ элеκτροοτсοса,κ πеρеχοднκ- κу 7 τρубκπ 2 цρπсοедκняюτ ππρщ с ρасτвοροιл анτисеπ- τиκа. Βведение аκτисеπτиκа чеρез ποлыГι сτеρжень юш
35 τρубκу 2 οсущесτвляеτся οдκοвρеιленκο с сοздεκζеπ Ε πο- лοсτζ нοса οτρщаτелънοгο давлеκκя чеρез κанаτ ΙС. Τа- κοе цροмызаκие πρивοдκτ κ эваκуацκи из ποлοсτκ κοса гκοιι- нοгο илζ слζзисτοгο сеκρеτа. Пροχοждеκζе жζдκοсτι: чеρез ποлοсτъ κοса сзадκ κаπеρед цοи οднοвυеменнοιл сοздании ρазρеженζя сποсοбсτвуеτ ποзыπеншэ эφφеκτπвнοсτζ οτсасκ- вεнζя, τаκ κаκ цρи эτοιл ποмимο эφφеκτа οτρщаτелънοгο давления πρисοединяеτся эφφеκτ вοдοсτρуйыοгο οτсοса. 5 Следуеτ οτмеτиτъ, чτο οτсасываκζе ζ προιлыванκе προ- зοдяτ в ποлοжении бοлънοгο сζдя, πρζ эτοι.: гοлοву κаκлο- κяюτ в сτοροну, προτκвοποлοннуιο πορаκеκκο":.
Пο завеρπешπ: цροιжзанκя, ο чеι.: сзζдеτелъсτвуеτ эваκуацня из ποлοсτζ нοса ρасτзορа анτκсеπτиκа без πο-
10 сτοροннζχ πρимесеζ, бοлънοζ πеρезοдζτся з ποлοженζе ле- г.а на бοκу сο свисающеζ в сτοροну πορа-еκκыχ πазуχ гοлο- ΕΟΙ: ζ ζзвееτκыιл сζοсοбοιл з πазуχζ звοдζτся леκаρсτзеκ- κοе вещесτвο.
Ιаκζιл οбρазο:.:, сποсοб лечеκζя сκκусиτοз ζ усτροГιсτвο
Ιδ дτя егο οсушесτзленζя ζοзвοляюτ ποлκοсτыз эваκуиροзаτъ πаτοлοгζчесκοе сοдеρ:ζимοе ζз ποлοοτζ κοса, чτο ιгоедзлτρеΕ- даеτ егο οбρаτнοе ποπадание з πазуχζ ζ сποсοбсτвуеτ ποвы- шенζз эφφеκτπвκοсτи τеρашζι синусζτа. Пροι.ιыζлеκκая ζρш.ιеншлοсτъ
20 Ηасτοящее ζзοбρеτенκе πρедуπρе:-:-л;аеτ οбρаτκοе ποζада- κζο ζаτο.ζοгζчесκοгο сοдеρгшлοгο ζз ζοлοсτζ ζοса з πаεуχζ, чτο сποсοбсτзνег
Figure imgf000006_0001
τегаζζζ СΖΗΤСΖΤΟΞ.

Claims

ΦΟШУЛΑ ΙΙЗΟΚΡΕΤЖΙЯ
Усτροйсτвο дяя лечеκκя синусζτοв, οοдеρжацее цροдοлгοваτыκ гибκиζ τρубчаτыζ κορπус (I), κадувκую 5 ιланжеτу (12), усτанοвленную на κορπусе ыежду егο κοκ- да.πι, π надιувнοй όаллοн (4), усτанοвленный на οднοιл κοще κορπуса и сοοбщеκныζ с πеρвьπл из двуχ προдοльныχ κаналοз (3) з κορπусе, вτορο": ζз κοτορ χ (10) οκанчизаеτся :.ιеκ- ду манκеτοκ (12) и баллοнοιл (4) и сοοбщен с ποвеρχнο-
Ю сτъ:з κορπуса егο τορцевьпл οτвеρсτиеιл (П) , ο τ л κ ч а ю - π е е с я τеιл, чτο κορπус имееτ τρеτиκ κанал (2), сο- οбщенныζ с наρуκнο:: ποвеρχκοсτъю κορπуса οτвеρсτие:.: (8) в бοκοзοζ сτенκе, ρаеζοлοκенныгл κа учасτκе меκζу τορце- зιг.ι οτзеρсτиеι.ι (II) зτοροгο κанала π надузны.ι баллο-
15 нοм (4).
PCT/SU1989/000157 1989-03-29 1989-06-06 Device for treatment of sinusitis WO1990011053A1 (en)

Priority Applications (6)

Application Number Priority Date Filing Date Title
EP90900429A EP0418391B1 (de) 1989-03-29 1989-06-06 Anordnung zur behandlung von sinusitis
DE58909465T DE58909465D1 (de) 1989-03-29 1989-06-06 Anordnung zur behandlung von sinusitis.
NO905131A NO175348C (no) 1989-03-29 1990-11-27 Innretning for behandling av bihuler
FI905858A FI100766B (fi) 1989-03-29 1990-11-28 Sivuontelon tulehduksien hoitoon tarkoitettu laite
KR90702528A KR960010982B1 (en) 1989-03-29 1990-11-28 Device for treatment of sinusitis
DK283890A DK283890A (da) 1989-03-29 1990-11-29 Indretning til behandling af bihulebetaendelse

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
SU894664121A RU1768142C (ru) 1989-03-29 1989-03-29 Устройство дл лечени синуитов
SU4664121/14 1989-03-29

Publications (1)

Publication Number Publication Date
WO1990011053A1 true WO1990011053A1 (en) 1990-10-04

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PCT/SU1989/000157 WO1990011053A1 (en) 1989-03-29 1989-06-06 Device for treatment of sinusitis

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US9265407B2 (en) 2004-04-21 2016-02-23 Acclarent, Inc. Endoscopic methods and devices for transnasal procedures
US9308361B2 (en) 2005-01-18 2016-04-12 Acclarent, Inc. Implantable devices and methods for treating sinusitis and other disorders
US9351750B2 (en) 2004-04-21 2016-05-31 Acclarent, Inc. Devices and methods for treating maxillary sinus disease
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FI905858A0 (fi) 1990-11-28
CN1023065C (zh) 1993-12-15
FI100766B (fi) 1998-02-27
CA2013323A1 (en) 1990-09-29
YU59490A (sh) 1994-04-05
JPH03504935A (ja) 1991-10-31
AU4747590A (en) 1990-10-22
CA2013323C (en) 1996-08-20
EP0418391B1 (de) 1995-10-11
EP0418391A1 (de) 1991-03-27
AU623723B2 (en) 1992-05-21
RU1768142C (ru) 1992-10-15
EP0418391A4 (en) 1991-07-24
YU47345B (sh) 1995-01-31
DK283890D0 (da) 1990-11-29
DK283890A (da) 1991-04-11
CN1045917A (zh) 1990-10-10
ATE128844T1 (de) 1995-10-15
KR960010982B1 (en) 1996-08-14
DE58909465D1 (de) 1995-11-16

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