A ventilation tube includes a hollow main portion having an inner wall, an outer wall, a distal end and a proximal end. The outer wall defines an outer wall width dimension. At least one distal member is coupled to and extends from the distal end and has an outer end. At least one proximal member is coupled to and extends from the main portion and has an outer end. In an undeployed state, the outer end of the at least one proximal member is more greatly spaced apart from the outer wall width dimension than the outer end of the at least one distal member. In a deployed state the outer end of the at least one distal member changes in position relative to the outer wall width dimension and the outer end of the at least one proximal member remains unchanged relative to the outer wall width dimension.

A myringotomy device includes a housing; an elongated tube extending from the housing; and a retractable cutting tool extendable through the elongated tube, the cutting tool comprising a blade. The cutting tool is configured such that when advanced, the blade of the cutting tool extends beyond a distal end of the elongated tube. The cutting tool is also configured such that when retracted, the blade is retracted into the elongated tube and a fluid conduit is created from the distal end of the elongated tube to the housing.

Devices, systems, and methods can be employed to facilitate indirect viewing into cavities such as, but not limited to, the middle ear space. Some embodiments have uses such as, but not limited to, facilitating visualization and procedures in the outer, middle, and/or inner ear in order to diagnose and/or treat disorders including, but not limited to, hearing loss and other ear disorders. In particular implementations, a surgical microscope is used in conjunction with an inverter lens and a distal lens. In some cases, the distal lens transverses a membrane or septum such as, but not limited to, the tympanic membrane. The distal lens can be an assembly combining two or more lenses, in some embodiments. For example, in some cases wide angle lenses, zoom lenses, lenses of other various shapes and/or prisms can be used in the distal lens.

There is disclosed in one example an apparatus for extracting a foreign body (FB) from a bodily orifice, including: a connector having a receiver to pneumatically seal to a suction source; a hollow shaft pneumatically coupled to the connector; a hollow tip pneumatically coupled to the hollow shaft; and a valve disposed between the hollow tip and the connector, wherein the valve is biased to an open position, and the valve, when closed pneumatically isolates the hollow tip from the connector, and when open allows a continuous air flow passage between the connector and the hollow tip; and means to release the valve, whereby the valve opens when the means are activated.

Systems and methods can be employed for trans-tympanic membrane access to the middle ear for delivery of a therapeutic agent, for example, to the round window niche adjacent to the cochlea under direct visualization. The systems and methods can also be used to improve accessibility and visualization for various otological surgical procedures, such as, but not limited to, cholesteatoma removal, tympanic membrane repair and ossicular chain repair.

An apparatus comprises a shaft, an expandable dilator, and at least one ventilation pathway. The shaft defines a longitudinal axis and comprises a distal and proximal ends with at least one shaft lumen. The expandable dilator comprises body with its own proximal and distal ends. The body is configured to transition between a contracted state and an expanded state. The body is configured to dilate a Eustachian tube of a patient in the expanded state. The at least one ventilation pathway is configured to provide ventilation from the distal end of the body to the proximal end of the body when the body is in the expanded state. In some examples, the ventilation pathway comprises a set of transversely oriented vent openings formed through the shaft. In some other examples, the ventilation pathway comprises a space defined between one or more radially outwardly protruding features of the expandable dilator.

Systems and methods can be employed for trans-tympanic membrane access to the middle ear for delivery of a therapeutic agent, for example, to the round window niche adjacent to the cochlea under direct visualization. The systems and methods can also be used to improve accessibility and visualization for various otological surgical procedures, such as, but not limited to, cholesteatoma removal, tympanic membrane repair and ossicular chain repair.

Multi-component systems and methods for determining the proximity of surgical tools to key anatomical features are provided. The inventive systems and methods can be applied in any surgical procedure requiring precision to avoid damage to key anatomical features such as nerves, with a particular example being the robotic cochlear implantation minimally invasive approach to cochlear implantation. Use of purpose built surgical robots, electromyography and tissue impedance, stereotactic tracking and drilling force/bone density measurements are all key components, with inputs from these various modalities being dynamically weighted. In the example of robotic cochlear implantation, the inventive concepts are used to provide key surgical guidance so as to avoid damage to the facial nerve and the chorda tympani, among other anatomical features.

Devices, systems and methods for performing image guided interventional and surgical procedures, including various procedures to treat sinusitis and other disorders of the paranasal sinuses, ears, nose or throat.

A head-holder support for attaching a medical head-holder to a patient table is provided that has a rigid base body, an adjustable and lockable head-holder interface at the base body, which is adapted to adjustably couple the head-holder to the base body by providing at least three degrees of freedom for the spatial relative position between the head-holder and the base body, wherein the at least three degrees of freedom are lockable so as to establish a rigid coupling between the head-holder and the base body, and at least one robotic arm interface at the base body, which is adapted to provide a rigid coupling between a robotic arm and the base body.