Cerumen impaction remains a significant medical problem. Over 14 million visits are made to physicians every year, many for complaints associated with ear wax impaction. Cerumen impaction can cause hearing loss, tinnitus, pain, infection, and can seriously impair the functioning of hearing aids and tympanostomy tubes. Cerumen impaction is particularly prevalent in the elderly population. This group is more likely to produce hard, dry wax that adheres to the ear canal wall. They are also the group most likely to use hearing aids that impede the natural progression of wax from the ear canal.
There are a variety of techniques available to remove impacted ear wax from the ear canal. Both curettage and irrigation are well known and frequently used procedures that effectively remove ear wax. Another procedure widely used for cerumen removal is suction. This method is particularly effective when the ear wax has a soft, cheese-like consistency. Ear suction is also effective when the ear wax has been treated with a ceruminolytic agent to soften and loosen it, leaving a gooey mess in the ear canal that must be removed to obtain an adequate examination of the tympanic membrane. Suction is also a desirable technique in cases of active infection or with patent tympanostomy tubes, where pus and debris in the ear canal blocks adequate visualization of the ear drum and where irrigation is contraindicated and curettage may be ineffective.
Another cause for ear canal impaction is obstruction with a foreign object. Removal of foreign bodies, as they are called, are well known causes of emergency room and doctor's office visits. It is a particular problem in the pediatric age group, but is not limited to children. The types of foreign bodies found in ear canals range from beads and small toys, to cotton swab tips (from attempts at self-cleaning) and insects. Many of these objects are removed by grasping them with forceps, but round, smooth objects (e.g. beads, stones, toys) are best removed by ear suction.
Currently, ear suction is performed using a re-usable metal suction catheter. The suction catheter comprises a tube with an adaptor for mating with suction tubing, and a small regulating hole or slit that can be covered or uncovered by the user's thumb to break the vacuum as needed. The design of this suction catheter is similar to that of other suction catheters used for a variety of medical purposes. The only difference is that suction catheters used for the ear have a significantly smaller bore size, usually a 7 French or smaller, to accommodate the small diameter of the ear canal. Suction is provided by connection with a standard suction pump or central suction system (as found in hospitals).
One problem with the current ear suction techniques is that it is a “blind” procedure, in that it is difficult for the operator to visualize accurately the suction tip in the ear canal during the suctioning. ENT physicians typically use an operating microscope, or magnifying eye loupes and head-lamp to allow the procedure to be visualized. The current ear suction devices do not have either intrinsic illumination or visualization.
The lighted suction device of the invention comprises a light pipe member extending from a proximal end to a tip that is composed of a transparent material with low haze so as to allow light to travel down the light pipe member from the proximal end to the tip, and a suction channel integral to the light pipe member or a suction catheter member that is affixed in a permanent fashion to the light pipe member having an opening at the tip of the light pipe member and a connector at its proximal end for connection to a source of vacuum.
According to the method of the invention, a light source is selectively connected to the proximal end of the light pipe member, and a source of vacuum is selectively connected to the connector of the suction channel or suction catheter member. The tip of the light pipe member is introduced into a body orifice, suction is applied wax, debris, a foreign object, or the like in the body orifice, and the light pipe member is withdrawn to remove the wax, debris, and/or foreign object.
The advantages of the invention will become readily apparent to those skilled in the art from the following detailed description of various embodiments when considered in the light of the accompanying drawings, in which:
It is to be understood that the specific devices and processes illustrated in the attached drawings and described in the following description are simply exemplary embodiments of the inventive concepts defined in the appended claims. Hence, specific dimensions and other physical characteristics relating to the embodiments disclosed herein should not be considered as limiting, unless the claims expressly state otherwise.
The current invention is a lighted suction device and method of removing an object from a body orifice such as the ear canal utilizing the lighted suction device to provide both illumination and visualization during the procedure. The illumination is preferably provided by a white LED (light emitting diode) that transmits light into the ear canal using the suction device as a light pipe. The visualization may be enhanced by a magnifying lens that can be removably attached to the suction device. The lighted suction device assembly may be attached to a standard vacuum unit as described below to provide suction for the procedure.
Referring to the drawings, the lighted suction device 10 includes a light pipe member or portion 12. The light pipe member 12 is elongate, extending from a butt or proximal end 14 to a shoulder 15 to a tip 16. It may be preferred to form the tip 16 of the lighted suction device 10 so as to be slightly flared, to allow it to more readily adhere to round foreign bodies. The proximal end 14 of the light pipe member 12 is designed to connect to a light source 18, preferably a bright white LED light source that provides the source of illumination. At least the light pipe member 12 of the lighted suction device 10 is composed of a transparent material that has good transparency and haze that is sufficiently low to allow it to function as a light pipe. The transparent material of the light pipe member 12 may be glass or a plastic material, preferably a polycarbonate, acrylic or co-polyester material.
The lighted suction device 10 further includes a suction channel or passage 20 that may be integral to the light pipe member 12 or may be a catheter-type member that is affixed in a permanent fashion to the light pipe member 12. In the illustrated embodiment, the suction channel 20 is formed integrally with the light pipe member 12, as best seen in
The lighted suction device 10 preferably includes a handle 28 extending from the light pipe member 12. In the preferred, illustrated embodiment, a portion of the suction channel 20 and the connector 24 are formed integrally with the handle 28. The connector 28 is preferably a standard hose connector, such as the hose barb shown, allowing the lighted suction device 10 to connect with the suction channel 20 in fluid communication with any standard suction system, including a wall-vacuum or vacuum pump. A small hole 30 may preferably be located in the handle 28 of the lighted suction device 10 to allow finger-tip control of the vacuum by a user.
As can be seen in
In
In accordance with the provisions of the patent statutes, the invention has been described in what is considered to represent its preferred embodiments. However, it should be noted that the invention could be practiced otherwise than as specifically illustrated and described without departing from its spirit or scope. As an example, it will be appreciated that, in those embodiments in which the apparatus includes a plurality of projections, the size and shape of the projections may vary considerably.
This application is claiming the benefit, under 35 U.S.C. §119(e), of the provisional application filed Nov. 15, 2011 under 35 U.S.C. §111(b), which was granted Ser. No. 61/560,023. This provisional application is hereby incorporated by reference in its entirety.
| Number | Name | Date | Kind |
|---|---|---|---|
| 3261356 | Wallace | Jul 1966 | A |
| 5897489 | Urbanowicz et al. | Apr 1999 | A |
| 6569089 | Covington et al. | May 2003 | B1 |
| 7641644 | Chang et al. | Jan 2010 | B2 |
| 20040195975 | Fregoso | Oct 2004 | A1 |
| 20050171408 | Parker | Aug 2005 | A1 |
| 20060276693 | Pacey | Dec 2006 | A1 |
| 20070060793 | DeGould | Mar 2007 | A1 |
| 20070088203 | Lau | Apr 2007 | A1 |
| 20080146878 | Frost et al. | Jun 2008 | A1 |
| 20090253967 | Gill et al. | Oct 2009 | A1 |
| 20090312783 | Whayne et al. | Dec 2009 | A1 |
| 20100249528 | Vayser et al. | Sep 2010 | A1 |
| 20110112376 | Vayser et al. | May 2011 | A1 |
| 20110313412 | Kim et al. | Dec 2011 | A1 |
| 20120179187 | Loushin et al. | Jul 2012 | A1 |
| 20120277537 | Kucklick et al. | Nov 2012 | A1 |
| 20130012783 | Vayser et al. | Jan 2013 | A1 |
| 20130012784 | Vayser et al. | Jan 2013 | A1 |
| Number | Date | Country | |
|---|---|---|---|
| 61560023 | Nov 2011 | US |