EXPANDABLE EAR APPARATUS AND METHODS OF USE
20180344529 ยท 2018-12-06
Inventors
Cpc classification
A61F13/38
HUMAN NECESSITIES
A61F13/34
HUMAN NECESSITIES
International classification
A61F11/00
HUMAN NECESSITIES
A61F13/20
HUMAN NECESSITIES
A61F13/34
HUMAN NECESSITIES
Abstract
Selectively expandable apparatus for insertion into an ear canal, and related methods of use and operation. In one embodiment, the apparatus includes a selectively expandable body configured for insertion into an ear and expansion within the ear canal. In one variant, the expanded main body is removable from the ear canal via a removal mechanism and removes excess cerumen and/or debris from the ear canal during removal. In another variant, the main body includes one or more compounds and is configured to receive a fluid for diffusion of the one or more compounds into the ear canal.
Claims
1. Apparatus comprising a first element configured to at least partly fit within at least a portion of an ear of a living subject, the element configured to selectively expand in at least one dimension when exposed to an activator substance while in the ear, the selective expansion causing cerumen within the ear to adhere to the first element so as to enable subsequent removal of at least a portion of the adhered cerumen.
2. The apparatus of claim 1, wherein the activator substance comprises at least water, and the first element comprises a compressed material configured to expand in the at least one dimension when wetted by the water.
3. The apparatus of claim 3, wherein the activator substance comprises at least a solvent and a medicant, and the first element comprises a compressed material configured to expand in the at least one dimension when wetted by the solvent.
4. The apparatus of claim 1, wherein the first element comprises at least: a main body configured for insertion into the at least portion of the ear; and a removal mechanism attached to at least a portion of the main body, the removal mechanism configured to extend at least partly outside of the at least portion of the ear in a condition where the main body is inserted into the portion of the ear.
5. The apparatus of claim 4, wherein the main body comprises a rounded distal end, the rounded distal end disposed at an opposing end of the main body relative to the removal mechanism.
6. The apparatus of claim 4, wherein the main body comprises a spiral configuration.
7. The apparatus of claim 4, wherein the main body comprises a cylindrical configuration.
8. The apparatus of claim 4, wherein the main body comprises a textured surface.
9. The apparatus of claim 4, wherein the removal mechanism comprises a user graspable portion configured to enable a user to pull the main body out of the at least portion of the ear after expansion of the compressed material.
10. The apparatus of claim 9, wherein the user graspable portion comprises an elongated flexible filament.
11. The apparatus of claim 9, wherein the user graspable portion comprises an elongated tab.
12. A method for treating at least one condition of an ear, the method comprising: inserting a main body of an ear treatment apparatus into at least a portion of a canal of the ear, the main body being in a compacted configuration during the inserting; enabling a removal mechanism to remain outside of the at least portion of the canal; exposing at least the main body to an activator substance, the activator substance causing the main body to expand in at least one dimension thereby changing to an expanded configuration while disposed in the at least portion of the ear canal; and utilizing the removal mechanism to pull the main body from the at least portion of the ear canal, the main body being in the expanded configuration while pulled from the at least portion of the ear canal.
Description
BRIEF DESCRIPTION OF THE DRAWINGS
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[0044] All figures Copyright 2015-2016 M D Idea Factory. All rights reserved.
DESCRIPTION OF THE DISCLOSURE
[0045] Reference is now made to the drawings wherein like numerals refer to like parts throughout.
Overview
[0046] In one aspect, improved apparatus for ear canal cleaning, and related methods of use and operation are disclosed herein. In one embodiment, the apparatus includes a selectively expandable main body that is configured to be insertable and removable within an ear canal of a user.
[0047] In one example, the apparatus is inserted into a user's ear canal while a main body of the apparatus is in a compacted configuration (e.g., compacted in at least one dimension relative to its non-compacted state). After insertion, the apparatus is exposed to a fluid (e.g., water, saline solution, antiseptic, etc.) and maintained within the ear canal for a period of time within which the main body expands from the compacted position to an expanded position. When a desired expansion period has passed (i.e., a period within which the main body expands to contact surfaces of the ear canal and/or partially dries), the apparatus is removed from the ear canal via a removal mechanism. As the expanded apparatus is removed, outer surfaces of the main body slide over the surfaces of the ear canal, thereby removing excess cerumen and/or debris from the ear canal. The exemplary embodiment of the apparatus may be purposely designed to avoid deep insertion into the ear canal (where, as discussed above, deep insertion can cause potential damage and/or infection of the ear).
[0048] In another aspect, improved apparatus for compound delivery through an ear canal, and related methods of use and operation are disclosed herein. In one embodiment, the apparatus includes a selectively expandable main body that is configured to be insertable and removable within an ear canal of a user.
[0049] In one example, the apparatus is inserted into a user's ear canal while a main body of the apparatus is in a compacted configuration. In one implementation, the main body can be comprised of a carrier material having one or more compounds (e.g., drugs) disposed on a surface or within the carrier material. After insertion, the apparatus is exposed to a fluid (e.g., water, saline solution, etc.) and maintained within the ear canal for a period of time within which the main body expands from the compacted position to an expanded position. In another implementation one or more compounds are included in the fluid. In both implementations, addition or exposure of fluid enables diffusion of the one or more compounds from the main body of the apparatus to the skin of the ear canal. When a desired diffusion period has passed (i.e., a desired dosing period of the one or more compounds has passed), the apparatus is removed from the ear canal via a removal mechanism. As in the example above, the exemplary embodiment of the apparatus may be purposely designed to avoid deep insertion into the ear canal.
Anatomy
[0050] A brief discussion of the exemplary human ear anatomy is useful in further explanation of the various features and advantages of the apparatus and methods of the present disclosure.
[0051] Referring now to
[0052] Cerumen (i.e., ear wax) is a waxy substance secreted by sebaceous glands in the outer third of the cartilaginous external ear canal 116 of the external ear 102 It consists of triglycerides, wax esters, squalene (e.g., C.sub.30H.sub.50/(6E,10E,14E,18E)-2,6,10,15,19,23-Hexamethyltetracosa-2,6,10,14,18,22-hexaene), and free fatty acids mixed with desquamated skin cells. Excess or compacted cerumen can press against the tympanic membrane 106 or block the ear canal 116, thereby potentially causing pain and/or partial to complete hearing loss in the affected ear.
[0053] Additionally, as discussed elsewhere herein, the inner ear 108 includes a blood-labyrinth barrier (BLB) for regulation of homeostasis (e.g., volume and/or concentrations of fluid and ions) of the inner ear internal chambers or lumen (e.g., ducts of the cochlea and vestibular system). The RMW 114 acts as a semi-permeable membrane allowing some compounds (e.g., sodium ions, antibiotics, antiseptics, local anesthetics, etc.) to enter the perilymph and endolymph fluids of the inner ear 108 from the middle ear 104, while the TM 106 acts as a semi-permeable membrane between the outer ear 102 and the middle ear 104.
Description of Exemplary Embodiments
[0054] It is noted that while the apparatus of the disclosure described herein are discussed primarily with respect to use in a medical context, such as for use in a medical setting (e.g., doctor's office, hospital, etc.), certain aspects of the disclosure may be useful in other applications, including, without limitation, consumer use (e.g., in a home setting).
[0055] It is also appreciated that while described herein primarily in the context of drug or other compound delivery intended to treat conditions of the middle or inner ear, the delivery methods and apparatus described herein are not so limited, and in fact may be used for delivery of other types of compounds, substances or agents (pharmaceutical or otherwise), and for treatment of conditions associated with other parts of the host organism. Such other compounds, substances and/or agents may include, without limitation and purely by way of example, steroids, growth factors (e.g., hepatocyte growth factor or HGF), anti-microbials, genetic vectors, nano-particles, hormones, and vitamins. Notably, the ear provides a pathway to the CNS (central nervous system) of the host, which can be utilized for delivery of therapy agents or other forms of treatment or stimulation targeting the CNS.
[0056] It is also noted that while the ear apparatus of the disclosure is described herein primarily in the context of a human wearer or user, many of the principles and features of the disclosure are adaptable to other species and their particular anatomical features by one of ordinary skill given the present disclosure including, without limitation, primates such as e.g., chimpanzees.
Exemplary Apparatus
[0057] Referring now to
[0058] As illustrated in
[0059] Also illustrated in
[0060] In one implementation, compounds that are stable in a dehydrated state and active in a hydrated state are used; however, it will be appreciated that this is in no way a requirement, and in fact any number of different original and delivery states may be used consistent with the present disclosure, including e.g., those which are active in both a dehydrated and hydrated state, those activated by reaching a prescribed temperature (e.g., on the order of 98 degrees F. as is typically present in the tissues of the human ear canal), external heating (e.g., use of a blow dryer or other heated air source which gently and controllably raises the temperature of the ear tissue (and inserted apparatus), introduction of an external substance after the apparatus with medicant or agent is inserted into ear (e.g., introduction of an activator via an aerosolized spray, squeeze bottle, etc.), or by the presence of natural or other substances present in the user's ear (e.g., triglycerides, alcohols, squalene, etc.).
[0061] It will also be appreciated that the exemplary apparatus and methods described herein may be used for delivery of viscous or even non-liquid substances (whether in an activated or deactivated state), such as e.g., powders or other materials which can be assimilated and diffused by the ear tissue. For example, some organic materials may be directly diffused into the tissue without need for any liquid carrier per se. Moreover, some substances may be absorbed after volatilization thereof (e.g., change from liquid to vapor or aromatic state due to, e.g., introduction of a activator or even merely the presence of normal human body temperature within the ear canal).
[0062] It is also appreciated that the exemplary apparatus and methods described herein may be used for delivery of therapy agents or other substances targeted for the tympanic membrane and/or other portions of the ear canal, including the middle or even the inner ear, such as via diffusion or permeation through the membrane for e.g., the treatment of otitis media.
[0063] Advantageously, topical application of compounds, substances or agents to tissue such as that of the human ear often enable a great degree of variability in dosage; i.e., are very forgiving in terms of e.g., over-application or dosing, especially as compared to systemic/orally ingested approaches. Stated simply, it is harder to overdose a patient via topical introduction, especially when considering the limited surface area of the ear canal, and the volume of agent or compound that feasibly can be delivered at any given time via the exemplary apparatus described herein. This underscores another salient advantage of the various aspects of present disclosure; i.e., the need for less precision in dosing/application than with other approaches with respect to many types of compounds or agents being delivered.
[0064] Returning to
[0065] It will be appreciated that while the body is shown as being generally flat and having a rounded end for insertion into the opening of the ear canal, other configurations may be used as well (and as described in greater detail subsequently herein), including without limitation an Archimedes screw spiraled configuration, other spiraled configurations (e.g., helical ribbon, twisted ribbon, etc.), a more cylindrical shape, a contoured shape (e.g., one or more regions that vary in diameter or other shape parameters, including e.g., linear or non-linear taper rates), and even asymmetric shapes. Further, the main body can have additional surface features, such as e.g., projections, raised portions, ridges, and/or otherwise textured surfaces, etc.
[0066] For example,
[0067] In another example,
Other Embodiments and Features
[0068] In even another example,
[0069] Alternate configurations for the removal mechanism above include e.g., elongated tabs at or extending from the outward/lateral (non-inserted) side of the apparatus, soft hook rings of a prescribed radius that can be grasped by the user or latched onto with an external implement, or even suction/vacuum on an external substantially smooth surface.
[0070] Similar to the apparatus 500, in the apparatus 800 the main body 802 is comprised of an expandable material and is thus selectively expandable from a compacted configuration (i.e., dehydrated configuration) to an expanded configuration (i.e., hydrated configuration). In one example, the main body is comprised of an expandable open cell material and/or hydromorphic polymer that expands when it comes into contact with fluid (e.g., water, saline solution, antiseptic solution, alcohol, etc.). In one specific implementation the main body 802 is comprised of open-celled polyvinyl alcohol (PVA). Further, the open-celled PVA (or similar material) can be a carrier material for one or more compounds (e.g., drugs). The one or more compounds can be infused throughout the carrier material and/or disposed on a surface of the carrier material. Non-limiting example compounds that can be disposed within or on the carrier material include anti-bacterial compounds, anti-fungal compounds, steroids, or any other compound that is stable in a dehydrated state and active in a hydrated state.
[0071] Moreover, exemplary uses of the apparatus described herein include treatment of eczema, hematoma, granulation, or even foreign bodies within the ear. Yet other uses contemplated by the inventors hereof include delivery/placement of markers for stereotactic radiosurgery, temperature probes, or even hearing or protection from mechanical and undesirable chemical agents, such as via absorption of external liquid substances, removal of toxins, pus, etc.
[0072] Returning to
[0073] In alternate examples, the depth-limiting mechanism can have a different configuration such as, e.g., one or more projections extended outwardly from the main body in a lateral direction. Further, in additional alternate examples, the depth-limiting mechanism can be closer or farther from the first end, depending on a desired insertion depth. Furthermore, such depth-limiting mechanisms can be included with an apparatus having a planar configuration (such as e.g., planar configurations shown in
[0074] It will also be appreciated that the present disclosure likewise contemplates substantially customized apparatus which are formed so as to be anatomically optimized for each user or class of users (e.g., child-sized apparatus, adult-sized apparatus, etc.). Using e.g., well known three-dimensional (3D) optical or laser scanning apparatus (such as of the type used in conjunction with so-called 3D printers), a 3D model of a given user's outer ear and outer canal can be obtained, and the molding or formation of the apparatus adjusted accordingly. In fact, since human beings are often somewhat asymmetric in terms of anatomical features (including ears), it is contemplated that a left/right side model can be used to customize apparatus for each ear (and e.g., labeled or color coded so as to permit ready insertion into the appropriate ear), as well as those having chirality (i.e., handed-ness).
[0075] Moreover, the present disclosure contemplates purchase and manufacture of such plugs in bulk for each user or class of users, such as for disposable apparatus, thereby assuring that the user will have a ready supply of customized apparatus, while taking advantage of manufacturing economies. In one such paradigm, a home or workplace user can simply utilize a hand-held optical or other scanner to scan an earprint of themselves, and send it to a remote entity via e.g., the Internet so as to effectuate the order and production of the customized apparatus.
Description of Exemplary Methods
[0076] Turning now to
[0077] In
[0078]
[0079] Also shown in
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[0081] In examples where apparatus 900 is used for administering one or more compounds into the ear canal (e.g., drug delivery), the main body 902 can remain in the inserted and expanded/hydrated state 938 for a desired diffusion period. Further, additional fluid can be added to the main body during the diffusion period.
[0082] In exemplary implementations, agents or compounds that cannot tolerate the gastrointestinal tract (e.g., which would be adversely affected by stomach acids or other such substances prior to absorption via the small intestine), and hence otherwise require intravenous infusion or other approaches, are advantageously delivered via the apparatus and methods herein. For example, testosterone therapy, anti-cancer drugs, and antibiotics often meet such criteria. It is also noted that advantageously, the methods and apparatus described herein may be used to effect controlled release of the compound/agent that could last over several hours to several days or even weeks, to provide a sustained effect or achieve a desired profile of the substance within the user's tissue and/or blood stream (or CNS).
[0083] Otherwise, in examples where apparatus 900 is used for removal of excess cerumen from the ear canal, the main body 902 can remain in the inserted and expanded/hydrated state 938 for a desired expansion period. Specifically, it may be desirable to maintain the position of the main body until the main body is fully expanded and has slightly dried in the expanded configuration.
[0084] Lastly,
[0085]
[0086] At step 1004, the main body is maintained in the ear canal as fluid is added to the second end. The addition of fluid causes the main body to expand from the compacted/dehydrated state to an expanded/hydrated state. In the expanded/hydrated state, the main body expands to the circumference of the ear canal and substantially fills the ear canal in the region proximal to the ear canal opening at step 1006. In some examples, the position of the main body is maintained for a desired expansion period to allow the main body to expand and/or slightly dry.
[0087] Optionally, at step 1008, if one or more compounds are disposed within or on the main body and/or if one or more compounds are in solution in the fluid added the main body, the position of the main body in the ear canal can be maintained for a desired diffusion period. During the diffusion period, the one or more compounds diffuse from the main body into the skin surface of the ear canal. Additionally, the one or more compounds can diffuse from the main body to the ear canal and further to the tympanic membrane and/or to the round window membrane (RMW).
[0088] Finally, at step 1010 the main body is removed from the ear canal via a removal mechanism. Specifically, a user or the other individual grasps a portion of the removal mechanism a tab, a cord, etc.) and pulls on the removal mechanism in a direction away from the user's ear until the main body is free of the ear canal. In examples where the apparatus is used for ear cleaning, the outer surface of the main body wipes and/or swabs the skin of the ear canal as the main body is removed, thereby cleaning cerumen and/or debris from the ear canal.
[0089] It should be recognized that while the foregoing discussion of the various aspects of the disclosure has described specific sequences of steps necessary to perform the methods of the present disclosure, other sequences of steps may be used depending on the particular application. Specifically, additional steps may be added, and other steps deleted as being optional.
[0090] Furthermore, the order of performance of certain steps may be permuted, and/or performed in parallel with other steps. Hence, the specific methods disclosed herein are merely exemplary of the broader methods of the disclosure.
[0091] While the above detailed description has shown, described, and pointed out novel features of the disclosure as applied to various embodiments, it will be understood that various omissions, substitutions, and changes in the form and details of the device or process illustrated may be made by those skilled in the art without departing from the disclosure. The described embodiments are to be considered in all respects only illustrative and not restrictive. The scope of the disclosure is, therefore, indicated by the appended claims rather than the foregoing description. All changes that come within the meaning and range of equivalence of the claims are embraced within their scope.