An instrument includes a handle assembly, a shaft, a dilation catheter, and a position sensor. The shaft extends distally from the handle assembly. The shaft includes a distal end that is configured to be introduced into an anatomical passageway within a head of a human. The dilation catheter includes an expandable dilator and is configured to advance distally relative to the shaft. The position sensor is configured to generate signals indicating a position of the position sensor within the head. The position sensor is configured to advance distally between at least first and second positions. The position sensor is disposed adjacent the distal end of the shaft in the first position, and is configured to be carried further distally by the dilation catheter to the second position. In the second position, the position sensor is separated a distance from the distal end of the shaft.

An apparatus includes a shaft, a balloon, a tip member, and a heating feature. The tip member is distal to the balloon and has a larger outer diameter than the shaft. The heating feature is operable to ablate tissue of the Eustachian tube contacting the balloon in the expanded state. The heating feature may include an illuminating element and a photosensitive coating on the balloon. Alternatively, the heating feature may include a thermal heating element that heats the balloon inflation fluid and thereby heats the wall of the balloon. Another apparatus includes a shaft, a tip member, and an electrode assembly. The electrode assembly includes a plurality of electrodes positioned along the shaft near the distal end, proximal to the tip member. The electrodes are spaced apart from each other along a longitudinal axis and are operable to apply RF energy to tissue to thereby ablate the tissue.

A plug is configured to maintain position within a Eustachian tube of a patient. The plug includes a proximal portion and a distal portion. The proximal portion includes a first body dimensioned bear radially outwardly against the Eustachian tube of the patient. The distal portion includes an anchoring assembly that is configured to lock the plug in the Eustachian tube of the patient. The plug may be formed of a bioabsorbable material.

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.

A therapeutic device for treating conditions of a user's nasal cavities, sinuses, and/or ear canals includes a housing which the user may hold to apply the therapeutic device to the user, the housing including an inlet that allows air to enter the therapeutic device. An acoustic vibrator located within the housing provides an acoustic vibration to the user, and a power supply located within the housing provides power to the acoustic vibrator. A mask is connected to the housing and includes a nasal interface that is appliable around the nose of the user. A valve of the mask opens to allow the user to breathe through the inlet and closes to prevent the user from exhaling through the inlet. The mask further includes a diaphragm and a nasal cavity in which a user's nostrils are located when the nasal interface is applied to the user.

A method of forming a three-dimensional object is carried out by providing a carrier and an optically transparent member having a build surface, the carrier and the build surface defining a build region therebetween; filling the build region with a polymerizable liquid; irradiating the build region through the optically transparent member to form a solid polymer from the polymerizable liquid and advancing the carrier away from the build surface to form the three-dimensional object from the solid polymer, while also concurrently with the irradiating and/or advancing steps: (i) continuously maintaining a dead zone of polymerizable liquid in contact with the build surface, and (ii) continuously maintaining a gradient of polymerization zone between the dead zone and the solid polymer and in contact with each thereof. The gradient of polymerization zone comprises the polymerizable liquid in partially cured form (e.g., so that the formation of fault or cleavage lines between layers of solid polymer in the three-dimensional object is reduced). Apparatus for carrying out the method is also described.

A surgical system and method are used to position a guidewire within an anatomical passageway includes the guidewire, a dilator, a reference feature, and a marker. The guidewire has a guidewire body extending to a distal body end portion. The dilator is secured on the distal body end portion and configured to expand from a contracted state to an expanded state. The dilator in the contracted state is configured to pass through an isthmus of a Eustachian tube. The dilator in the expanded state is configured to dilate the Eustachian tube. The reference feature secured relative to the guidewire, and the marker is positioned on the guidewire a predetermined distance from the reference feature. Thereby, the marker is configured to indicate the predetermined distance to an operator for determining a depth of the reference feature in the anatomical passageway.

A surgical system and method are used to position a guidewire within an anatomical passageway includes the guidewire, a dilator, a reference feature, and a marker. The guidewire has a guidewire body extending to a distal body end portion. The dilator is secured on the distal body end portion and configured to expand from a contracted state to an expanded state. The dilator in the contracted state is configured to pass through an isthmus of a Eustachian tube. The dilator in the expanded state is configured to dilate the Eustachian tube. The reference feature secured relative to the guidewire, and the marker is positioned on the guidewire a predetermined distance from the reference feature. Thereby, the marker is configured to indicate the predetermined distance to an operator for determining a depth of the reference feature in the anatomical passageway.

Provided is a medical device with portions configured for fitting and being retained simultaneously into two cavities on opposite sides of the body of a subject, for example the eustachian tubes or the fallopian tubes. The device may include an elongated member with a central segment and first and second peripheral segments extending therefrom. These segments differ in their intended function and eventual in situ positioning: the two peripheral segments intended for insertion and positioning within the two cavities and exerting their function within the cavities. The central segment serves as a link between two peripheral segments and may also be used for some other functions by its position. The elongated member may have elastic properties.

A rechargeable therapeutic system for treating conditions of a user's nasal cavities, sinuses or ear canals includes a therapeutic device having a housing that includes an inlet that allows air to enter the therapeutic device. An acoustic vibrator located within the housing provides an acoustic vibration to the user, and a power supply located within the housing provides power to the acoustic vibrator. A mask is connected to the housing and configured to be applied around the nose of the user. A valve of the mask is configured to allow the user to breathe through the inlet. The mask further includes a diaphragm and a nasal cavity in which the user's nose is located when the mask is applied around the nose of the user. A recharging station is configured to provide a charging current to the power supply.