Extendable Needle RF Ablation Instrument for Posterior Nasal Nerve
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Solution Overview
Problem
Conventional treatments for intractable rhinitis, such as vidian neurectomy, can cause collateral damage to the lacrimal gland, leading to long-term health complications like chronic dry eye, and there is a need for a more effective and safer alternative to manage nasal mucus secretions.
Innovation Solution
Development of an RF ablation instrument with an extendable needle that selectively acts between retracted and extended positions to facilitate safe and effective ablation of the posterior nasal nerve, using RF energy and fluid delivery to regulate tissue temperature and enhance electrical coupling, thereby reducing nasal mucus secretions without damaging adjacent structures.
Engineering Contradictions & Design Principles
Engineering Contradiction Analysis
1Productivity
If vidian neurectomy is performed to treat intractable rhinitis, then nasal mucus secretions are reduced, but collateral damage to the lacrimal gland occurs causing chronic dry eye
Solution Approach 1:
The patent segments the surgical approach by targeting only the posterior nasal nerve rather than the entire vidian nerve. The needle instrument is designed to access and ablate specifically the posterior nasal nerve branch within the nasal cavity, separating this target from the main vidian nerve trunk that supplies the lacrimal gland. This segmentation allows selective destruction of the problematic nerve branch while preserving other neural structures.
Solution Approach 2:
The patent applies local quality by using a focused RF ablation approach that delivers thermal energy only to the specific location of the posterior nasal nerve. The needle instrument concentrates the ablation effect at the target site within the nasal cavity, creating localized tissue destruction precisely where needed while leaving surrounding structures including the lacrimal gland unaffected. This localized treatment approach contrasts with the broader vidian neurectomy that affects multiple neural structures.
2Reliability
If posterior nasal nerve ablation is performed to avoid lacrimal gland damage, then safety is improved, but surgical precision and accessibility become more challenging
Solution Approach 1:
The patent employs a nested structure where the ablation needle is housed within a protective sheath or delivery catheter that guides it through the nasal cavity. The needle can be advanced step-by-step through the nasal passages to reach the posterior nasal nerve, with the outer sheath providing a track and protection during insertion. This nested design facilitates safe navigation to the deep-located target while maintaining precision.
Solution Approach 2:
The patent replaces complex mechanical surgical dissection with RF energy-based ablation. Instead of requiring extensive mechanical exposure and dissection of the posterior nasal nerve, the instrument uses radiofrequency energy to selectively destroy the nerve tissue at the target site. This energy-based approach simplifies the surgical procedure, reduces the need for extensive anatomical exposure, and improves ease of operation while maintaining safety.
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
The RF ablation instrument effectively ablates the posterior nasal nerve, reducing nasal mucus secretions while minimizing the risk of collateral damage to the lacrimal gland, providing a safer alternative for treating intractable rhinitis.
Implementation Method 1
an electrode disposed at the distal needle tip, wherein the electrode is operable to deliver RF energy to tissue for ablating the tissue
Implementation Method 2
the needle lumen opens to the distal needle tip such that the distal needle tip is configured to deliver fluid from the needle lumen to tissue
Data Source
AI summary
A surgical instrument includes an outer tube configured to be gripped by a user, and a needle slidably disposed within the outer tube. The needle includes a needle lumen, a distal needle tip configured to pierce tissue, and an electrode disposed at the distal needle tip. The needle lumen opens to the distal needle tip such that the distal needle tip is configured to deliver fluid from the needle lumen to tissue. The electrode is operable to deliver RF energy to tissue for ablating the tissue. The needle is translatable relative to the outer tube between a proximal retracted position in which the distal needle tip is housed coaxially within the outer tube, and a distal extended position in which the distal needle tip is exposed from the outer tube and configured to pierce tissue.


