System and method for facilitating intranasal guidance
A sphenocath including a sheath assembly including a sheath hub with a sheath tube extending therefrom with a passage extending from a proximal end of the sheath hub to a distal end of the sheath tube; a catheter assembly including a catheter hub with a catheter tube extending therefrom with a passage extending from a proximal end of the catheter hub to a distal end of the catheter tube; wherein the catheter assembly passes through the sheath assembly with a portion of the catheter hub engaging a portion of the sheath hub to limit relative rotation between the hubs while permitting relative axial movement such that in an initial non-extended position the distal end of the catheter tube is proximate to the distal end of the sheath tube. A system further including a guidewire is also provided. A method of inserting the catheter tube is also provided.
1. A sphenocath comprising:
a sheath assembly, including a sheath hub with a sheath tube extending therefrom with a passage extending from a proximal end of the sheath hub to a distal end of the sheath tube, said sheath hub including a guide slot extending along a top surface thereof, said guide slot including an indicator member covering a portion of said guide slot;
a catheter assembly including a catheter hub with a catheter tube extending therefrom, a distal end of said catheter tube having a preformed curvature, the catheter tube having a passage extending from a proximal end of the catheter hub to a distal end of the catheter tube, said catheter hub including a radially extending projection thereon, wherein the indicator member indicates the orientation of the distal end of the catheter tube; and
wherein the catheter assembly is configured to pass through the sheath assembly such that the radially extending projection on the catheter hub engages the guide slot to limit relative rotation between the hubs while permitting relative axial movement such that in an initial non-extended position the distal end of the catheter tube is proximate to the distal end of the sheath tube, wherein said guide slot has a width larger than a width of the projection such that the catheter hub is configured to rotate relative to the sheath hub over a limited rotational range, wherein the limited range extends approximately 10 degrees in each rotational direction such that the preformed curvature is always away from the indicator member and the catheter tube distal end cannot be modified relative the sheath hub beyond the limited range.
2. The sphenocath of claim 1 , wherein the curvature is such that an axis of the distal end of the catheter tube is at an angle relative to the axis of the proximal end of the catheter tube and the angle is between about 30 degrees to 90 degrees.
3. The sphenocath of claim 2 , wherein the angle is between about 35 degrees to 55 degrees.
4. The sphenocath of claim 1 , wherein the sheath hub includes a marker indicating the direction of the preformed curvature.
5. The sphenocath of claim 1 , wherein the catheter tube distal end is formed with a spraying tip.
6. The sphenocath of claim 5 , wherein the spraying tip includes a substantially closed end except for a slotted passage.
7. The sphenocath of claim 5 , wherein the spraying tip includes a substantially closed end except for a plurality of small openings.
8. The sphenocath of claim 1 , wherein the sheath tube has a lubricious outer surface.
9. The sphenocath of claim 1 , wherein the sheath tube includes a radiopaque mark proximate the distal end of the sheath tube.
10. The sphenocath of claim 1 further comprising a guidewire configured to pass through the catheter tube passage for guiding insertion of the sphenocath.