公开(公告)号：US09399121B2

公开(公告)日：2016-07-26

申请号：US12496226

申请日：2009-07-01

申请人： Eric Goldfarb ,  John Y. Chang ,  William M. Facteau ,  Sivette Lam ,  Hung V. Ha ,  Isaac J. Kim ,  Ketan P. Muni

发明人： Eric Goldfarb ,  John Y. Chang ,  William M. Facteau ,  Sivette Lam ,  Hung V. Ha ,  Isaac J. Kim ,  Ketan P. Muni

IPC分类号： A61M29/02 ,  A61M25/00 ,  A61M25/10

CPC分类号： A61B17/24 ,  A61B6/12 ,  A61B6/487 ,  A61B2017/246 ,  A61M25/0041 ,  A61M25/09 ,  A61M25/1002 ,  A61M29/02 ,  A61M2025/1079 ,  A61M2025/1086 ,  A61M2210/0618 ,  A61M2210/0681 ,  A61M2230/005

摘要： A dilation catheter device and system for dilating an opening in a paranasal sinus and/or other passageways within the ear, nose or throat is disclosed. A dilation catheter device and system is constructed in a manner that facilitates ease of use by the operator and, in at least some cases, allows the dilation procedure to be performed by a single operator. Additionally, the dilation catheter device and system may be useable in conjunction with an endoscope and/or a fluoroscope to provide for easy manipulation and positioning of the devices and real time visualization of the entire procedure or selected portions thereof. In some embodiments, shaft markers are disposed on a shaft of the dilation catheter and have a light color to contrast with a dark color of the dilation catheter shaft. The high contrast between the markers and catheter shaft allows for easy viewing of the markers in low light and operation conditions.

摘要翻译： 公开了一种扩张导管装置和系统，用于扩张鼻窦和/或耳朵，鼻子或喉部内的其它通道中的开口。 膨胀导管装置和系统以促进操作者易于使用的方式构造，并且在至少一些情况下允许扩张程序由单个操作者执行。 此外，扩张导管装置和系统可以与内窥镜和/或荧光镜结合使用，以提供装置的容易操作和定位以及整个程序或其选定部分的实时可视化。 在一些实施例中，轴标记设置在扩张导管的轴上并且具有与扩张导管轴的深色对比的浅色。 标记和导管轴之间的高对比度允许在低光和操作条件下容易地观察标记。

公开(公告)号：US08715169B2

公开(公告)日：2014-05-06

申请号：US11928097

申请日：2007-10-30

申请人： John Y. Chang ,  Joshua Makower ,  Julia D. Vrany ,  John H. Morriss ,  Ketan P. Muni ,  Isaac J. Kim ,  Hung Ha ,  William M. Facteau ,  Amrish Jayprakash Walke

发明人： John Y. Chang ,  Joshua Makower ,  Julia D. Vrany ,  John H. Morriss ,  Ketan P. Muni ,  Isaac J. Kim ,  Hung Ha ,  William M. Facteau ,  Amrish Jayprakash Walke

IPC分类号： A61B1/04 ,  A61B1/00

CPC分类号： A61M29/00 ,  A61B1/233 ,  A61B17/12104 ,  A61B17/12136 ,  A61B17/1657 ,  A61B17/1688 ,  A61B17/24 ,  A61B17/320016 ,  A61B17/320725 ,  A61B34/20 ,  A61B2017/00292 ,  A61B2017/246 ,  A61B2034/2051 ,  A61B2090/3764 ,  A61B2503/40 ,  A61M25/0041 ,  A61M25/0054 ,  A61M25/0662 ,  A61M25/09 ,  A61M25/1002 ,  A61M29/02 ,  A61M2025/0008 ,  A61M2025/1079 ,  A61M2029/025 ,  A61M2210/0618 ,  A61M2210/1028

摘要： 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 remodeling 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 (e.g., guide catheters, tubes, guidewires, elongate probes, other elongate members) may be used to facilitate insertion of working devices (e.g. catheters e.g. balloon catheters, guidewires, tissue cutting or remodeling devices, devices for implanting elements like stents, electrosurgical devices, energy emitting devices, devices for delivering diagnostic or therapeutic agents, substance delivery implants, scopes etc.) into the paranasal sinuses or other structures in the ear, nose or throat. Specific devices (e.g., tubular guides, guidewires, balloon catheters, tubular sheaths) are provided as are methods for manufacturing and using such devices to treat disorders of the ear, nose or throat.

公开(公告)号：US20110004057A1

公开(公告)日：2011-01-06

申请号：US12793352

申请日：2010-06-03

申请人： Eric Goldfarb ,  John Y. Chang ,  William M. Facteau ,  Sivette Lam ,  Hung V. Ha ,  Isaac J. Kim ,  Ketan P. Muni

发明人： Eric Goldfarb ,  John Y. Chang ,  William M. Facteau ,  Sivette Lam ,  Hung V. Ha ,  Isaac J. Kim ,  Ketan P. Muni

IPC分类号： A61M29/02 ,  A61B1/00

CPC分类号： A61M29/02 ,  A61B1/233 ,  A61B17/24 ,  A61M25/0041 ,  A61M25/0097 ,  A61M25/0108 ,  A61M25/1002 ,  A61M2025/0004 ,  A61M2025/0008 ,  A61M2025/0183 ,  A61M2025/1061 ,  A61M2025/1079 ,  A61M2025/1086 ,  A61M2210/0618 ,  A61M2210/0681 ,  A61M2230/005 ,  A61M2210/005

摘要： A dilation catheter device and system for dilating an opening in a paranasal sinus and/or other passageways within the ear, nose or throat is disclosed. A dilation catheter device and system is constructed in a manner that facilitates ease of use by the operator and, in at least some cases, allows the dilation procedure to be performed by a single operator. Additionally, the dilation catheter device and system may be useable in conjunction with an endoscope and/or a fluoroscope to provide for easy manipulation and positioning of the devices and real time visualization of the entire procedure or selected portions thereof. In some embodiments, shaft markers are disposed on a shaft of the dilation catheter and have a light color to contrast with a dark color of the dilation catheter shaft. The high contrast between the markers and catheter shaft allows for easy viewing of the markers in low light and operation conditions.

摘要翻译： 公开了一种扩张导管装置和系统，用于扩张鼻窦和/或耳朵，鼻子或喉部内的其它通道中的开口。 膨胀导管装置和系统以促进操作者易于使用的方式构造，并且在至少一些情况下允许扩张程序由单个操作者执行。 此外，扩张导管装置和系统可以与内窥镜和/或荧光镜结合使用，以提供装置的容易操作和定位以及整个程序或其选定部分的实时可视化。 在一些实施例中，轴标记设置在扩张导管的轴上并且具有与扩张导管轴的深色对比的浅色。 标记和导管轴之间的高对比度允许在低光和操作条件下容易地观察标记。

公开(公告)号：US07785315B1

公开(公告)日：2010-08-31

申请号：US11955303

申请日：2007-12-12

申请人： Ketan P. Muni ,  Hung V. Ha ,  John H. Morriss ,  William E. Bolger ,  William M. Facteau ,  Joshua Makower ,  John Y. Chang ,  Randy S. Chan ,  Nga K. Van ,  Anton G. Clifford

发明人： Ketan P. Muni ,  Hung V. Ha ,  John H. Morriss ,  William E. Bolger ,  William M. Facteau ,  Joshua Makower ,  John Y. Chang ,  Randy S. Chan ,  Nga K. Van ,  Anton G. Clifford

IPC分类号： A61M31/00 ,  A61M29/00

CPC分类号： A61M29/02 ,  A61B17/1204 ,  A61B17/12104 ,  A61B17/12136 ,  A61B17/24 ,  A61B17/3417 ,  A61B17/3421 ,  A61B17/3478 ,  A61F11/004 ,  A61M25/0075 ,  A61M25/0084 ,  A61M25/04 ,  A61M25/10 ,  A61M2025/105 ,  A61M2025/1052 ,  A61M2025/1086 ,  A61M2210/0618

摘要： Devices, systems and methods for stenting, spacing, draining, ventilating and/or delivering drugs and other therapeutic or diagnostic substances to desired locations within the bodies of human or non-human animal subjects, including methods and systems for treating paranasal sinusitis and ethmoid disease.

摘要翻译： 用于支架，间隔，排泄，通气和/或递送药物和其他治疗或诊断物质到人或非人类动物受试者体内所需位置的装置，系统和方法，包括用于治疗鼻旁窦炎和筛窦疾病的方法和系统 。

公开(公告)号：US07771409B2

公开(公告)日：2010-08-10

申请号：US11928160

申请日：2007-10-30

申请人： John Y. Chang ,  Joshua Makower ,  Julia D. Vrany ,  John H. Morriss ,  Ketan P. Muni ,  Isaac J. Kim ,  Hung Ha ,  William M. Facteau

发明人： John Y. Chang ,  Joshua Makower ,  Julia D. Vrany ,  John H. Morriss ,  Ketan P. Muni ,  Isaac J. Kim ,  Hung Ha ,  William M. Facteau

IPC分类号： A61M31/00

CPC分类号： A61M29/00 ,  A61B1/233 ,  A61B17/12104 ,  A61B17/12136 ,  A61B17/1657 ,  A61B17/1688 ,  A61B17/24 ,  A61B17/320016 ,  A61B17/320725 ,  A61B34/20 ,  A61B2017/00292 ,  A61B2017/246 ,  A61B2034/2051 ,  A61B2090/3764 ,  A61B2503/40 ,  A61M25/0041 ,  A61M25/0054 ,  A61M25/0662 ,  A61M25/09 ,  A61M25/1002 ,  A61M29/02 ,  A61M2025/0008 ,  A61M2025/1079 ,  A61M2029/025 ,  A61M2210/0618 ,  A61M2210/1028

摘要： 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 remodeling 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 (e.g., guide catheters, tubes, guidewires, elongate probes, other elongate members) may be used to facilitate insertion of working devices (e.g. catheters e.g. balloon catheters, guidewires, tissue cutting or remodeling devices, devices for implanting elements like stents, electrosurgical devices, energy emitting devices, devices for delivering diagnostic or therapeutic agents, substance delivery implants, scopes etc.) into the paranasal sinuses or other structures in the ear, nose or throat. Specific devices (e.g., tubular guides, guidewires, balloon catheters, tubular sheaths) are provided as are methods for manufacturing and using such devices to treat disorders of the ear, nose or throat.

公开(公告)号：US20090312745A1

公开(公告)日：2009-12-17

申请号：US12496226

申请日：2009-07-01

申请人： Eric Goldfarb ,  John Y. Chang ,  William M. Facteau ,  Sivette Lam ,  Hung V. Ha ,  Isaac J. Kim ,  Ketan P. Muni

发明人： Eric Goldfarb ,  John Y. Chang ,  William M. Facteau ,  Sivette Lam ,  Hung V. Ha ,  Isaac J. Kim ,  Ketan P. Muni

IPC分类号： A61M29/02 ,  A61B5/05

CPC分类号： A61B17/24 ,  A61B6/12 ,  A61B6/487 ,  A61B2017/246 ,  A61M25/0041 ,  A61M25/09 ,  A61M25/1002 ,  A61M29/02 ,  A61M2025/1079 ,  A61M2025/1086 ,  A61M2210/0618 ,  A61M2210/0681 ,  A61M2230/005

摘要： A dilation catheter device and system for dilating an opening in a paranasal sinus and/or other passageways within the ear, nose or throat is disclosed. A dilation catheter device and system is constructed in a manner that facilitates ease of use by the operator and, in at least some cases, allows the dilation procedure to be performed by a single operator. Additionally, the dilation catheter device and system may be useable in conjunction with an endoscope and/or a fluoroscope to provide for easy manipulation and positioning of the devices and real time visualization of the entire procedure or selected portions thereof. In some embodiments, shaft markers are disposed on a shaft of the dilation catheter and have a light color to contrast with a dark color of the dilation catheter shaft. The high contrast between the markers and catheter shaft allows for easy viewing of the markers in low light and operation conditions.

摘要翻译： 公开了一种扩张导管装置和系统，用于扩张鼻窦和/或耳朵，鼻子或喉部内的其它通道中的开口。 膨胀导管装置和系统以促进操作者易于使用的方式构造，并且在至少一些情况下允许扩张程序由单个操作者执行。 此外，扩张导管装置和系统可以与内窥镜和/或荧光镜结合使用，以提供装置的容易操作和定位以及整个程序或其选定部分的实时可视化。 在一些实施例中，轴标记设置在扩张导管的轴上并且具有与扩张导管轴的深色对比的浅色。 标记和导管轴之间的高对比度允许在低光和操作条件下容易地观察标记。

公开(公告)号：US08894614B2

公开(公告)日：2014-11-25

申请号：US11355512

申请日：2006-02-16

申请人： Ketan P. Muni ,  Carlos F. Fernandez ,  Joshua Makower ,  John Y. Chang ,  William M. Facteau

发明人： Ketan P. Muni ,  Carlos F. Fernandez ,  Joshua Makower ,  John Y. Chang ,  William M. Facteau

IPC分类号： A61M5/178 ,  A61B17/24 ,  A61M29/02 ,  A61B17/22 ,  A61M25/10 ,  A61M25/01 ,  A61M25/00

CPC分类号： A61B17/24 ,  A61B18/12 ,  A61B2017/22061 ,  A61B2018/00577 ,  A61B2018/00601 ,  A61M25/0041 ,  A61M25/0108 ,  A61M25/09 ,  A61M25/10 ,  A61M25/1002 ,  A61M29/02 ,  A61M31/005 ,  A61M2025/1086 ,  A61M2029/025 ,  A61M2210/0618 ,  A61M2210/0681 ,  A61M2230/005

摘要： Devices, systems and methods wherein a dilator, such as a balloon or other expandable member, is positionable within the frontal sinus ostium and adjacent frontal recess and useable to dilate the frontal sinus ostium and substantially all of the frontal sinus recess without requiring repositioning and repeated re-expansion of the dilator. One balloon catheter device of the invention comprises a catheter body that is less than about 50 cm in length (and in some embodiments less than 25 cm in length and a semi-compliant or non-compliant balloon on the catheter body. The balloon may have a working length of about 12 mm to about 30 mm and a width at its widest point when fully inflated of about 2 mm to about 7 mm. Such balloon may be constructed to withstand inflation pressures of about 12 atmospheres. In some embodiments, the dilator is advanced through or over a guide (e.g., guidewire or guide catheter) that has a preformed shape.

摘要翻译： 装置，系统和方法，其中扩张器，例如气囊或其他可扩张构件，可定位在额窦口和相邻的前额槽内，并且可用于扩张额窦口和基本上所有的额叶窦腔，而不需要重新定位并重复 扩张器重新扩张。 本发明的一个气囊导管装置包括导管主体，其长度小于约50cm（并且在一些实施例中小于25cm长，导管主体上具有半顺应性或非顺应性气囊），球囊可具有 约12毫米至约30毫米的工作长度，当完全膨胀约2毫米至约7毫米时，其最宽点处的宽度可以构造成可承受大约12个大气压的充气压力在一些实施例中，扩张器 通过或超过具有预成形形状的引导件（例如，导丝或引导导管）。

公开(公告)号：US08864787B2

公开(公告)日：2014-10-21

申请号：US12100361

申请日：2008-04-09

申请人： Ketan P. Muni ,  Hung V. Ha ,  John Y. Chang ,  Randy S. Chan ,  Nga K. Van ,  Joshua Makower ,  William M. Facteau ,  Howard L. Levine

发明人： Ketan P. Muni ,  Hung V. Ha ,  John Y. Chang ,  Randy S. Chan ,  Nga K. Van ,  Joshua Makower ,  William M. Facteau ,  Howard L. Levine

IPC分类号： A61M31/00

CPC分类号： A61M25/10 ,  A61B17/24 ,  A61B17/3415 ,  A61B17/3417 ,  A61B17/3421 ,  A61B2090/062 ,  A61F11/004 ,  A61M25/0075 ,  A61M25/0084 ,  A61M25/04 ,  A61M29/02 ,  A61M31/00 ,  A61M2025/0681 ,  A61M2025/105

摘要： Substance delivering spacer devices may comprise expandable reservoirs that are implantable in paranasal sinuses and other cavities, openings and passageways of the body to maintain patency and to provide sustained local delivery of a therapeutic or diagnostic substance. Also provided are sinus penetrator devices and systems for performing ethmoidotomy procedures or for creating other openings in the walls of paranasal sinuses or other anatomical structures.

摘要翻译： 输送间隔物的物质可以包括可植入鼻旁窦和身体的其它空腔，开口和通道的可扩张的储存器，以维持通畅并提供治疗或诊断物质的持续的局部递送。 还提供了用于执行筛管手术或用于在鼻旁窦或其他解剖结构的壁中产生其他开口的窦穿刺装置和系统。

公开(公告)号：US20100076269A1

公开(公告)日：2010-03-25

申请号：US12562828

申请日：2009-09-18

申请人： Joshua Makower ,  John Y. Chang ,  William M. Facteau ,  Eric Goldfarb ,  Ketan P. Muni ,  Earl A. Bright, II ,  Greg Garfield ,  Greg Liu ,  Thomas Jenkins ,  John H. Morriss ,  Julia D. Vrany ,  Hung V. Ha ,  Ronda M. Heiser ,  Scott M. Smith

发明人： Joshua Makower ,  John Y. Chang ,  William M. Facteau ,  Eric Goldfarb ,  Ketan P. Muni ,  Earl A. Bright, II ,  Greg Garfield ,  Greg Liu ,  Thomas Jenkins ,  John H. Morriss ,  Julia D. Vrany ,  Hung V. Ha ,  Ronda M. Heiser ,  Scott M. Smith

IPC分类号： A61M29/02 ,  A61B6/12 ,  A61M25/10 ,  A61B17/24 ,  A61B1/06 ,  A61B17/32

CPC分类号： A61B17/24 ,  A61B1/233 ,  A61B6/506

摘要： Systems and methods for treating paranasal sinuses in a head of a patient include, for example, forming an opening through a canine fossa into a maxillary paranasal sinus and performing a procedure such as a balloon catheter dilation of the maxillary sinus ostium. In some embodiments, one or more procedures other than a balloon dilation procedure may be performed. In some embodiments, a combination of balloon dilation and one or more other procedures may be performed. Various approaches involve employing medical devices to accomplish alternative treatment modalities as well as taking alternative routes to the interventional site.

摘要翻译： 用于治疗患者头部鼻窦的系统和方法包括例如通过犬窝形成通向上颌鼻旁窦的开口，并执行诸如上颌窦口的气囊导管扩张的过程。 在一些实施例中，可以执行除球囊扩张程序之外的一个或多个程序。 在一些实施例中，可以执行球囊扩张和一个或多个其它程序的组合。 各种方法涉及采用医疗设备来完成替代治疗方式，以及采取替代途径到介入部位。

公开(公告)号：US20100042046A1

公开(公告)日：2010-02-18

申请号：US12543445

申请日：2009-08-18

申请人： John Y. Chang ,  Joshua Makower ,  Julia D. Vrany ,  John H. Morriss ,  Ketan P Muni ,  Isaac J. Kim ,  Hung Ha ,  William M. Facteau ,  Amrish Jayprakash Walke

发明人： John Y. Chang ,  Joshua Makower ,  Julia D. Vrany ,  John H. Morriss ,  Ketan P Muni ,  Isaac J. Kim ,  Hung Ha ,  William M. Facteau ,  Amrish Jayprakash Walke

IPC分类号： A61B17/56 ,  A61M29/00 ,  A61M1/00

CPC分类号： A61M29/00 ,  A61B1/233 ,  A61B17/12104 ,  A61B17/12136 ,  A61B17/1657 ,  A61B17/1688 ,  A61B17/24 ,  A61B17/320016 ,  A61B17/320725 ,  A61B34/20 ,  A61B2017/00292 ,  A61B2017/246 ,  A61B2034/2051 ,  A61B2090/3764 ,  A61B2503/40 ,  A61M25/0041 ,  A61M25/0054 ,  A61M25/0662 ,  A61M25/09 ,  A61M25/1002 ,  A61M29/02 ,  A61M2025/0008 ,  A61M2025/1079 ,  A61M2029/025 ,  A61M2210/0618 ,  A61M2210/1028

摘要： 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 remodeling 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 (e.g., guide catheters, tubes, guidewires, elongate probes, other elongate members) may be used to facilitate insertion of working devices (e.g. catheters e.g. balloon catheters, guidewires, tissue cutting or remodeling devices, devices for implanting elements like stents, electrosurgical devices, energy emitting devices, devices for delivering diagnostic or therapeutic agents, substance delivery implants, scopes etc.) into the paranasal sinuses or other structures in the ear, nose or throat. Specific devices (e.g., tubular guides, guidewires, balloon catheters, tubular sheaths) are provided as are methods for manufacturing and using such devices to treat disorders of the ear, nose or throat.