Curved Catheter Navigation for Sinus Dilation Without Guide Wire

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Solution Overview

Problem

Conventional sinuplasty procedures for treating sinusitis and stenosis are complicated by the difficulty in navigating and positioning guide wires through the nasal passage to reach obstructed sinus passages, particularly due to the abrupt angles between the nasal passage and the ostium, leading to increased time and complexity.

Innovation Solution

A method and device involving a catheter with an elongate member that can transition between a straight and curved configuration, allowing it to be advanced through a cannula and navigated to the treatment site without a guide wire, using a balloon for dilation by inflating within the obstructed passage.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Reliability

If a guide wire is used to navigate through the nasal passage to reach the obstructed sinus passage, then the treatment can be performed, but the procedural complexity and time required increase due to the need to navigate through abrupt angles

Engineering Contradiction:
Improveability to reach treatment siteVSAvoidprocedural complexity
Core Design Contradiction:
ReliabilityVSDevice complexity

Solution Approach 1:

The catheter incorporates a pre-formed curve or bend in its elongate member that matches the anatomical curvature of the nasal passage and ostium. This curved configuration allows the catheter to naturally follow the passage contours and reach the treatment site without requiring complex guide wire navigation through abrupt angles, thereby reducing procedural complexity while maintaining reliable access to the sinus passage.

Inventive Principle:
Principle #14Spheroidality (Curvature)

2Reliability

If a guide wire is used to navigate through the nasal passage to reach the obstructed sinus passage, then the treatment can be performed, but the time required for the procedure increases

Engineering Contradiction:
Improveability to reach treatment siteVSAvoidprocedural time
Core Design Contradiction:
ReliabilityVSLoss of time

Solution Approach 1:

The catheter is pre-configured with a curved shape that anticipates the anatomical pathway of the nasal passage and ostium before the procedure begins. This preliminary shaping eliminates the need for time-consuming manual guide wire navigation and positioning during the procedure, allowing the catheter to be rapidly advanced to the treatment site while ensuring reliable access to the obstructed sinus passage.

Inventive Principle:
Principle #10Preliminary action

3Productivity

If conventional balloon catheter dilation is performed, then the sinus passage can be unblocked, but the procedure requires prior guide wire placement which complicates the process

Engineering Contradiction:
Improvetreatment efficiencyVSAvoidprocedural steps
Core Design Contradiction:
ProductivityVSDevice complexity

Solution Approach 1:

The invention combines the navigation function and dilation function into a single integrated catheter device. The elongate member with its pre-formed curve provides the navigation capability to reach the obstructed sinus passage, while the attached balloon provides the dilation capability. This merging of functions eliminates the need for separate guide wire placement and subsequent catheter advancement steps, thereby simplifying the procedure and improving treatment efficiency while maintaining the ability to effectively unblock the sinus passage.

Inventive Principle:
Principle #5Merging (Combining)

Applied Scientific Principles

This section explains which scientific principles are used to turn an abstract innovation direction into a practical engineering solution.

Function Achieved in This Case

Facilitates easier and more efficient treatment of sinus passages by allowing direct navigation and dilation without the need for a guide wire, reducing procedural complexity and time.

Implementation Method 1

the balloon is moveable between a first deflated configuration and a second inflated configuration as fluid is moved into and out of the balloon chamber

Methodology Applied
Scientific EffectPressure: Pressure Increase

Data Source

PatentUS10136907B2Methods of locating and treating tissue in a wall defining a bodily passage
Publication Date: 2018.11.27 C2DX INC
  • US10136907B2 patent drawing
  • US10136907B2 patent drawing
  • US10136907B2 patent drawing

AI summary

Devices, kits, and methods of treatment are described. More particularly, methods of treating tissue of a passage wall defining a bodily passage, such as a sinus cavity, airway, or sinus passage are described. An exemplary method utilizes an elongate member having an elongate member proximal end, elongate member distal end, and an elongate member body that defines a curve.