Tympanostomy tube and a placement device
View Patent ↗A tympanostomy tube placement device has a stem with a needle having a tip configured to pierce a tympanic membrane. A retainer is on the needle and includes four fingers extending axially at a distance from said axis and at 90° circumferential separations in one example. The retainer is movable from a distal position at which it presses radially inwardly against the tube distal flange tabs to retain the distal flange in a folded position, to a proximal position at which the tube distal flange is free to spring out radially to a deployed position. The retainer fingers extend through tube proximal flange passageways and press the tube distal flange inwardly, while leaving a distally-facing face of the proximal flange exposed radially outwardly of the retainer. Hence, the proximal flange has its final deployed configuration throughout, and so can act as a physical stop member against the tympanic membrane and also provides visualisation for the surgeon because it extends radially outwardly of the stem.
1. A tympanostomy tube placement system comprising:
a tympanostomy tube placement device comprising a stem connected to a deployment mechanism or having a coupler for connection to a deployment mechanism,
a needle having a tip configured to pierce a tympanic membrane, the needle having a longitudinal axis, and
a retainer comprising a plurality of fingers extending axially at a distance from said longitudinal axis; and
a tympanostomy tube comprising a proximal flange, an inter-lumen connector, and a distal flange, and in which the proximal flange comprises passageways;
wherein the retainer is movable from a pre-deployment distal position at which it is adapted to press radially inwardly against the tube distal flange to retain said distal flange in a folded position, to a deployment proximal position at which the tube distal flange is free to spring out radially to a deployed position;
and in which
in the pre-deployment position the retainer fingers extend through the proximal flange passageways and press the tube distal flange inwardly.
2. The tympanostomy tube placement system of claim 1 , wherein there are at least two diametrically opposed retainer fingers.
3. The tympanostomy tube placement system of claim 1 , wherein the fingers have an arcuate cross-sectional shape with a concave internal surface.
4. The tympanostomy tube placement system of claim 1 , further comprising a handle connected to the stem, and wherein the stem is rotatable with respect to the handle.
5. The tympanostomy tube placement system of claim 1 , wherein the wherein the device further comprises a user actuator for rotation of the stem, and wherein the needle is lockable in the stem so that it rotates with the stem.
6. The tympanostomy tube placement system of claim 1 , wherein the tube distal flange comprises at least one tab aligned in circumferential position with one of said retainer fingers and being pressed inwardly by said finger in the pre-deployment position.
7. The tympanostomy tube placement system of claim 1 , wherein the tube distal flange comprises a plurality of tabs aligned in circumferential position with one of said retainer fingers and being pressed inwardly by said finger in the pre-deployment position, and wherein the tabs are substantially equally circumferentially spaced.
8. The tympanostomy tube placement system of claim 1 , wherein the passageways are through holes, each having a surface facing radially inwardly and engaging an outer surface of a retainer finger.
9. The tympanostomy tube placement system of claim 1 , wherein the passageways are through holes, each having a surface facing radially inwardly and engaging an outer surface of a retainer finger; and wherein at least one through hole has an arcuate shape and said surface is concave.
10. The tympanostomy tube placement system of claim 1 , wherein the tube proximal flange is of a first material and the distal flange is of a second material and said first material is more rigid than the second material.
11. The tympanostomy tube placement system of claim 1 , wherein the retainer or the needle comprise an axial guide member configured to fit in the lumen of the tube pre-deployment.
12. The tympanostomy tube placement system of claim 1 , wherein the needle comprises a recess proximally of the tip and configured to receive a folded-down part of a tab of the tube distal flange.
13. The tympanostomy tube placement system of claim 1 , wherein the needle and the tube distal flange are configured to form an arrow-shaped formation when the distal flange is folded down.