The SinuPulse Elite® Advanced Sinus Irrigation System is a revolutionary treatment for sinus sufferers, which utilizes pulsatile irrigation designed for cleansing and moisturizing. Designed for use with most saline solutions.

Insurance Payment for SinuPulse Elite® Advanced Sinus Irrigation System

• Physician office irrigation and insurance payments bill RVS 31000-52.
• Patient Insurance reimbursement for SinuPulse Elite® unit bill HCPCS-E1399

SinuPulse Elite® Advanced Sinus Irrigation System

Technique:
1. Add one tsp of SinuAir™ powdered saline or non iodized salt to 500 cc of water
2. Adjust flow to about one inch high stream out of bulb tip
3. Irrigate 250 cc on left side
4. Irrigate 250 cc on right side.
5. Clear Nose GENTLY !
6. Sit quietly for 10 minutes. Don’t blow the nose 

Applications

Allergy And Pollen
Inhibition Of The Seasonal Ige Encrease To Dactylis Glomerata By Daily Saline Nasal-
Sinus Irrigation During The Grass Pollen Season,
J. Subiza, M.D. Journal of Allergy and Clinical Immunology. September 1999.
Pulsatile irrigation works for allergy by removing the IgE so that the pollen doesn't cause symptoms.

Medical Management of Rhinitis, Fadal R. English: Otolaryngology Vol 2:Ch 13
The principal benefits from saline irrigation include: Augments mucociliary flow, liquefies tenacious mucus, soothes irritated tissues, removes crusts and micro-foreign bodies, augments tissue repair, reduces forceful nose blowing, improves olfaction.

Rhinitis, Allergy: Principles and Practice, 3rd edition. Middleton E. CV Mosby Company Ch 17, 1988
All forms of allergy rhinitis are benefited by pulsatile saline irrigation.

Asthma
Sinusitis and Bronchial Asthma, Slavin RG: J Allergy and Clinical Immunol 66:250-257, 1980
Slavin presents three mechanisms re sinusitis causing asthma. Clearing sinusitis is important in asthma.

Post Operative Care
Evaluation of methods of Sinus Nasal Irrigation Post Sinus Surgery, Cenjor, C. Gutierrez, R. Congress of Spanish Society of Otolaryngology and Cervical Facial Pathology.
Las Palmas de Gran canaria, 16 Octubre de 1998
“Pulsatile Irrigation {Grossan} is the preferred method of treatment after endoscopic surgery. Highly accepted by patients.

Fungus Infection
Effect of anti-fungal nasal lavage with amphotericin B on nasal polyposis
Ricchetti A, Landis BN, Maffioli A, Giger R, Zeng C, Lacroix JS., J Laryngol Otol 2002 Apr;116(4):261-3
Rhinology Unit, Department of Otorhinolaryngology - Head and Neck Surgery, Geneva Univ. Hospital, Switzerland.

Cystic Fibrosis
Management Of Sinusitis In Cystic Fibrosis,
Moss , King W. Arch Otolaryngol Head Neck Surg. 1995;1 21:566-572.
Stresses the use of “pulsatile irrigation” for home use. Recommends antibiotic irrigation of sinuses.

References
Management Of Sinusitis In Cystic Fibrosis,
Moss , King W. Arch Otolaryngol Head Neck Surg.1995;121:566-572.
Stresses the use of “pulsatile irrigation” for home use. Recommends antibiotic irrigation of sinuses.

Method For Rapid Evaluation Of Topically Applied Agents To Cystic Fibrosis, Wine JJ, King W, Lewiston NJ Am J Physiol. 1991261 (Lung Cell Mol Physiol. 5):L21 8-L221
Pulsatile sinus irrigation makes an ideal vehicle for local administration of antibiotics and other products.

Management of Chronic Sinusitis in Cystic Fibrosis, Davidson, T., Laryngoscope 105:354 April 1995.

Cystic fibrosis is commonly associated with sinusitis due to mucociliary system failure. Patients may benefit by lung transplant. Pre-op pulsatile saline irrigation with tobramycin is found to be a successful means of clearing the sinus of disease.

Using Pulsatile Pressure Saline/Antibiotic Irrigation,
Betts N. Compendium Contin Educa Dent, 17(9): 871 1996.
The efficacy of pulsatile saline irrigation in removing bacteria is demonstrated in orthopedics, surgery and dental literature too.

Effect of anti-fungal nasal lavage with amphotericin B on nasal polyposis, Ricchetti A, Landis BN, Maffioli A, Giger R, Zeng C, Lacroix JS. J Laryngol Otol 2002 Apr;116(4):261-3
Rhinology Unit, Department of Otorhinolaryngology - Head and Neck Surgery, Geneva Univ. Hospital, Switzerland

Recent studies have suggested that allergic fungal rhino-sinusitis could be involved in the development of nasal polyposis. The aim of this study was to evaluate the response of anti-fungal nasal lavage. Patients performed nasal lavage with 20 ml of a one per one thousand amphotericin B suspension in each nostril, twice a day, for four weeks. In addition, all patients continued their saline nasal lavage and their conventional topical corticosteroid spray. This study included 74 patients, with a mean age of 46 years (range from 19 to 73). Before anti-fungal treatment, the distribution of nasal polyposis, according to Malm, was: 13 patients in stage I (17.5 per cent), 48 patients in stage II (65 per cent) and 13 patients in stage III (17.5 per cent). After anti-fungal nasal lavages, the total disappearance of nasal polyposis was observed in 29 patients (39 per cent). Eight patients were stage I, 21 stage II, and none stage III. In patients who have had previous endoscopic polypectomy and functional endoscopic sinus surgery, total disappearance of nasal polyposis was seen in 24 patients (47 per cent). Hyper-reactivity to fungal organisms could be one of the mechanisms underlying the development of nasal polyposis. A direct effect of amphotericin B suspension on the integrity of the cell membrane of the polyp epithelium could not be excluded.