A dilation instrument includes a body, a dilation catheter, a guide member, and a force sensor. The dilation catheter has an expandable dilator. The guide member extends distally from the body and is configured to guide movement of the expandable dilator. The force sensor is operatively connected to the guide member and is configured to sense a force imparted against the guide member for monitoring engagement with an anatomy of a patient.

A method of increasing eustachian tube patency in human patients is disclosed wherein a eustachian tube targeting nasal administration device is utilized to deliver a surfactant/propellant mixture to the nasopharyngeal stoma of the auditory tube. The targeting capability of the administration device obviates the need for a spreading agent that would otherwise be required to enable at least a portion of surfactant to reach the eustachian tube orifice. More specifically, the non-targeting, indiscriminate delivery provided by nasal administration devices of the past required surfactant to spread over non-targeted tissue it was inadvertently applied to in order to reach the eustachian tube stoma. In addition, a method for treatment of otitis media is disclosed utilizing, in some preferred embodiments, a therapeutically active agent.

A high pressure balloon is insertable into a mammalian eustachian tube. The balloon has a body that includes a medial end, a lateral end, and a longitudinal axis extending from the medial end to the distal end, an exterior surface, an interior surface defining an air receiving interior, a lateral cross-sectional profile, and a longitudinal cross-sectional profile. The balloon is inflatable between a deflated configuration and an inflated configuration. The body is capable of retaining its desired size and shape when in the inflated configuration. The body has an ovaloid lateral cross-section that increases along the longitudinal axis from the relatively smaller cross-sectional area at the lateral end, to the relatively larger cross-sectional area at the medial end. The balloon is configured to uniformly expand the eustachian tube when in the inflated configuration.

A dilation catheter includes a shaft and an expandable element. The shaft includes a proximal portion and a distal portion. The distal portion includes a tip and a bend. The tip is sized and configured to pass through an isthmus of a Eustachian tube (ET). The bend is proximal to the tip. The bend is formed at an angle configured to provide insertion of the tip into the isthmus of the ET via an ear canal associated with the ET. The expandable element is disposed at the distal portion of the shaft. The expandable element is configured to transition between a non-expanded state and an expanded state. The expandable element in the non-expanded state is configured for insertion into the ET via the isthmus. The expandable element in the expanded state is configured to dilate the ET.

A dilation catheter includes a catheter shaft, an expandable element, and a navigation sensor. The catheter shaft has a proximal shaft portion defining a proximal shaft end, a distal shaft portion defining a distal shaft end, and a working lumen extending between the proximal and distal shaft ends. The expandable element is disposed on the distal shaft portion proximally of the distal shaft end, and is configured to expand to dilate an anatomical passageway of a patient. The navigation sensor is arranged at the distal shaft portion, and is configured to generate a signal corresponding to a location of the distal shaft portion within the patient. In various examples, the dilation catheter may further include a bulbous distal tip, and the navigation sensor may be arranged within the bulbous distal tip.

A dilation catheter comprises a handle, a guidewire, a dilation catheter, a guidewire movement mechanism, and dilation catheter movement actuator. The guidewire movement mechanism is configured to translate to thereby cause translation of the guidewire relative to the handle. The dilation catheter movement mechanism is configured to translate to thereby cause translation of the dilation catheter relative to the handle. The guidewire movement mechanism also includes a rotation mechanism configured to impart rotation upon the guidewire. The rotation mechanism may include features configured to limit the amount that the guidewire may rotate. The rotation mechanism may also include features configured to convert linear movement of an actuator into rotational movement of the guidewire. The dilation catheter may include features configured to provide for side entry of the guidewire into the dilation catheter.

A system for delivering a fluid to a Eustachian tube (ET) of a patient includes a guide member and a tubular member. The guide member includes a shaft having a proximal portion, a distal portion, and a bend at the distal portion. The bend is configured to provide access to an opening in the ET. The system further includes a tubular member comprising a proximal end, a distal end, and a lumen extending therebetween. The tubular member is sized to fit within the ET. One or both of the tubular member and the guide member comprises a first stop member configured to engage the other of the tubular member or the guide member. The first stop member is configured to restrict a distal advancement of the tubular member relative to the guide member.

A balloon is provided for insertion into a mammalian eustachian tube. The balloon is a high pressure balloon having a body including a proximal end, a distal end, an exterior surface and an interior surface defining an air receivable interior. The body having a plurality of segments of different cross sectional areas, and a non-circular cross sectional profile. The balloon is inflatable between a deflated configuration and an inflated configuration. The body is sufficiently inelastic so as to be substantially incapable of expanding beyond a pre-determined size and shape when in the inflated configuration. The segments include a first segment having a first cross sectional area and a second segment disposed distally of the first segment The second segment has a second cross sectional area larger than the first cross sectional area.

An apparatus and method of manufacture includes a helical wire coil and a core wire. The core wire has a first wire portion and a second wire portion. The first wire portion of the core wire extends through the helical wire coil. The second wire portion of the core wire is intertwined with the first helical wire coil to fixedly secure the core wire relative to the first helical wire coil. The core wire is formed from a first material that is non-extensible. The core wire is fixedly secured relative to a distal portion of the helical wire coil such that the core wire inhibits longitudinal elongation of the helical wire coil along a longitudinal coil axis.

A method includes inserting into a patient body a medical suction tool, which includes a hollow first tube for removing material away from a Eustachian tube of a patient, and a hollow second tube disposed around the first tube. The medical suction tool is navigated to the Eustachian tube. The Eustachian tube is sealed by coupling an outer surface of the second tube to an inner surface of the Eustachian tube. While the Eustachian tube is sealed by the second tube, the material is removed away from the Eustachian tube via the first tube.