Acclarent, Inc.

Biosense Webster (Israel) Ltd.

Accularent, Inc.

Biosense Webster, Inc.

Babak Ebrahimi

Ehsan Shameli

Fatemeh Akbarian

Jetmir Palushi

Itzhak Fang

Yehuda Algawi

Assaf Govari

Vadim Gliner

Henry F Salazar

John H Thinnes, Jr

Shubhayu Basu

Hany Abdelwahed

Meir Bar-Tal

Noam Racheli

Athanasios Papadakis

David A Smith, Jr

Moran Levi

Oleg Dulger

Todd A Veloni

Mohammad Abbas

Andres Claudio Altmann

Christopher Thomas Beeckler

George L Matlock

Itamar Bustan

Cesar Fuentes-Ortega

Don Q Ngo-Chu

Pieter Emmelius Van Niekerk

Yoav Pinsky

Dustin R Tobey

Juan Rodriguez Soto

Jordan R Trott

Marc Dean

William J Kane

Uriel Hod

Krishna Murthy Rajan

Julie M Taylor

Paul Suarez

Alison D Wright

Jamie Lynn Henriquez

Franklin D Tarke

Roozbeh Borjian

Jr John H Thinnes

The disclosed technology includes a medical probe comprising a substantially cylindrical structure including a proximal circular base, a distal circular base substantially parallel to the proximal circular base, and plurality of spines extending along a longitudinal axis between the proximal circular base and the distal circular base, and a membrane positioned over the plurality of spines defining an internal volume about the longitudinal axis. The plurality of spines comprise a bifurcated portion positioned along at least a portion of the spine between the distal circular base and the proximal circular base. The membrane comprises one or more electrodes coupled to an external surface of the membrane. The membrane is configured to permit fluid communication from outside the membrane to the internal volume.

Cylindrical cage systems and methods for distributed tissue contact for mapping and ablation

An ENT surgical instrument includes a shaft assembly, a flexible substrate, and at least at least one electrically-conductive sensor trace formed on the flexible substrate. The shaft assembly has a distal end sized and configured to fit in an anatomical passageway in an ear, nose, or throat of a patient. The flexible substrate extends along at least a portion of the shaft. The at least one sensor trace includes at least one concentric loop portion, wherein the at least one concentric loop portion defines at least one navigation sensor.

Flexible sensor assembly for ENT instrument

A method is used to manufacture a surgical instrument including a first tube, and a second tube. The first tube extends from a proximal first end portion to a distal first end portion. The second tube extends from a proximal second end portion to a distal second end portion. The second tube is positioned coaxially within the first tube with the distal second end portion positioned adjacent to the distal first end portion. The second tube defines a lumen. The sensor is secured proximal to the distal second end portion of the second tube. A die is engaged against a distal first end portion of the first tube while first tube rotates about its own longitudinal axis; and the die is simultaneously moved relative to the distal first end portion of the first tube along a predetermined path to form a predetermined shape.

Method of forming suction instrument end and shaver instrument end

Distal portion of catheter

A suction instrument includes a proximal end, a distal end configured to be positioned within or adjacent to an anatomical passageway of a patient, and a suction lumen extending between the proximal and distal ends. The suction lumen is configured to provide suction at the distal end. A navigation sensor is disposed along a portion of the suction lumen and is operable to generate an electrical signal corresponding to a location of the portion within the patient. A coupling feature is disposed at the proximal end and is configured to releasably couple the proximal end with a body.

Nasal suction instrument with interchangeable tip insert

An apparatus includes a shaft assembly, an end effector, and a sensor. The shaft assembly defines a longitudinal axis. The end effector is positioned at a distal end of the shaft assembly. A portion of the end effector is offset from the longitudinal axis. The sensor is configured to generate a signal in response to a magnetic field. The signal is configured to indicate a position of the end effector within three-dimensional space. The sensor is coaxially positioned about the longitudinal axis.

Curette with navigation sensor

An apparatus such as a suction instrument includes a position sensor proximate to a distal tip of a malleable shaft. A sensor wire couples the position sensor to a processor of an image guided surgery system such that signals generated by the position sensor can be interpreted to determine the position of the surgical instrument. The malleable shaft includes a malleable outer shaft and a flexible inner tube. The flexible inner tube includes a primary lumen that can provide suction, fluid, or various deployable surgical tools, and an inner lumen that holds the sensor wire. Protected within the inner lumen, the sensor wire runs the length of the shaft and exits the inner lumen and passes through a slot in the outer shaft to reach the position sensor. A heat shrink cover wraps the distal tip, sealing the components together and providing an opening suitable for suction.

Malleable suction instrument with offset position sensor

Variations of integral navigation controls may be used in conjunction with a medical instrument to provide navigation functions for an image guided surgery (IGS) system that is in communication with the integral navigation controls. In some variations, a medical instrument with integrated navigation wheels allows movement of a cursor of the IGS system along the x and y axis by scrolling the wheel, or allows selection, zooming, or other controls by combined clicking and/or scrolling of wheels, and may be sterilized or discarded along with the device. In some other variations, a control overlay may be temporarily attached to the medical instrument to provide additional controls, such as buttons or a pointing stick, and then removed and sterilized or discarded after a procedure. In each variation, inputs may be communicated via wire or wirelessly to an IGS system to provide navigation of images during a surgical procedure.

Medical instrument with integral navigation control features

An apparatus includes a handle assembly, a guide tube, and a dilation catheter. The guide tube extends distally from the handle assembly. At least a distal portion of the guide tube is malleable. The dilation catheter is slidably positioned in the guide tube. The dilation catheter includes a distal end, a dilator, and a position sensor. The position sensor is configured to generate a signal indicating a position of the position sensor in three-dimensional space. The dilation catheter is configured to translate relative to the guide tube.

Dilation instrument with malleable guide and dilation catheter with integral position sensor

A method of treating a patulous Eustachian tube includes forming a first pocket in a wall of a nasopharynx region proximate to a pharyngeal ostium, inserting a resiliently biased implant within the first pocket, and allowing the resiliently biased implant to expand within the first pocket to thereby urge the Eustachian tube towards a closed state. The wire implant may include a resilient stent or other resilient wire structure. In some versions, a deployment device having a balloon is used to deploy a malleable implant. This deployment device has a malleable implant disposed around the balloon, which is disposed around a guide catheter. The balloon is inflated and expands the malleable implant. The malleable implant retains the expanded shape and urges the Eustachian tube toward a closed state.

Method for treating patulous eustachian tube

A system () includes a medical probe () for insertion into a cavity of an organ, which includes a position and direction sensor () and a camera (), both operating in a sensor coordinate system (). The system further includes a processor () configured to: receive, from an imaging system () operating in an image coordinate system (), a three-dimensional image of the cavity including open space and tissue; receive, from the medical probe, signals indicating positions and respective directions of the medical probe inside the cavity; receive, from the camera, respective visualized locations inside the cavity; register the image coordinate system with the sensor coordinate system so as to identify one or more voxels in the image at the visualized locations, and when the identified voxels have density values in the received image that do not correspond to the open space, to update the density values of the identified voxels to correspond to the open space.

Computerized tomography (CT) image correction using position and direction (P and D) tracking assisted optical visualization

A surgical instrument includes an elongate shaft having a proximal shaft portion and a malleable distal shaft portion. The elongate shaft is configured to be secured to a supporting surgical instrument. An ablation head is coupled to the malleable distal shaft portion and includes at least one electrode operable to deliver RF energy to tissue for ablating the tissue. The ablation head is sized to fit within the nasal cavity of a patient with a distal end of the supporting surgical instrument. The proximal shaft portion is configured to operatively couple with an RF energy source operable to energize the at least one electrode with RF energy. The malleable distal shaft portion is configured to bend relative to a longitudinal shaft axis defined by the proximal shaft portion for selectively orienting the ablation head relative to the longitudinal shaft axis.

Instrument for endoscopic posterior nasal nerve ablation

An apparatus may be used with an elongate member that includes an engagement member, a hollow shaft, a compression member, a compression element, and a resilient gripping member. The hollow shaft extends from the engagement member along a longitudinal axis. The compression member is slidably disposed over the hollow shaft. The hollow shaft is disposed over the resilient gripping member and supports the compression element. The compression member has a conical inner surface including a detent feature. The conical inner surface is configured to urge the compression element radially inwards as the collar advances from the unlocked position toward the locked position where the detent feature retains the compression element. The compression element deforms the resilient gripping member radially inwards to grip the elongate member and prevents translation of the elongate member. When unlocked, the resilient gripping member moves radially away from the elongate member allowing translation.

Coupling assembly for variable diameter surgical instrument

Growing community of inventors

Irvine, CA, United States of America

Babak Ebrahimi