Washing of organs for different indications is among the most common medical interventions. Generally, the purpose is to remove foreign or biological materials that are considered undesirable and harmful to the area. Basically, water is used for washing. Sometimes, special features such as osmotic or oncotic pressure, viscosity, physiological pH, etc., are considered and special solutions are prepared. There are some important shortcomings of these devices that are still in use, which are forgotten or neglected. Among the features that must be taken into account are four basic points; temperature, pressure, volume and speed. The washing liquid contacting with the mucosa or epithelium of the organs should be at the organ- specific temperature and needs to reach a certain ideal pressure. Optimal volume and/or delivery rate are also important factors to be considered. One of the most commonly used washing devices for the medical purpose is the apparatus known as 'sinus rinse', which cleans basically the cavities, passages or channels in the nose. In this patent application, some ease of uses have been introduced and alternative solutions have been proposed that will substantially eliminate other adverse effects on routine use, primarily temperature, pressure, volume, and speed, in existing sinus washing devices. We have developed and/or improved additional apparatuses and/or modifications to the apparatus we have developed, in order to provide advantageous, problem-free and safer washing in other organs, especially in dental washing. In the safe washing system that we developed, alternative models are formed; those both use energy and do not require external energy. Innovations and modifications, each used individually or in combination, are described in the titles. While these new features alone are sufficient for a variety of clinical situations, in some cases all features must be used together.

Innovations and changes that we have developed that cover mainly nasal wash-out devices with more advantageous features, mainly anatomical suitability and/or temperature and/or pressure and/or volume and/or rate control and/or anti-infectivity are disclosed in detail. The safely application to other organs by making some modifications for the similar advantages have been explained. Our models (energy-dependent sinus washers-EDSW), which basically use electricity but also benefit from other energy types, and to be practical, relatively simple, portable (mobile sinus washers-MSW) models that do not require external energy have been given similar features. Modifications made within the scope of its use for different indications are also explained.

SINUS OR NASAL PASSAGE WASHING

Anatomically compatible (anatomical fit);

In existing nasal washing systems, the applicators inserted into the nostrils are the round, hemisphere-like different structures. The physical shapes of these structures are not suited to the anatomical structures of the nasal entrance. These structures are pushed into the nose with some pressure to prevent fluid escape. The applied pressure due to the incompatible structure leads to the stretching the nose wings, and to the deformation and growth of the nostrils. Especially in frequent or prolonged use, this deformity can be partly permanent. It may lead to both aesthetic and medical negativity. To solve this problem, the physical structure of the part which enter into nasal inlet has been adapted to the nasal entry anatomy in the heat, pressure, volume or speed controlled sinus washers (EDSW and MSW) that we have developed (1). This figure is a prism with an approximate ellipse-like base whose lower portion is flattened from the sides (laterally pressed) whereas the top part is a cone-like shape which is truncated from the upper side (semi cone/ top cut cone like structure). The upper part is narrower than the lower part. The three-dimensional structure usually narrows toward the forward-proximal (upper) side (2). In general, there is an anatomical cavity in an uneven half cone-prism-like structure. The tips (caps/nozzles/headpieces) which transfer the liquid to the nasal cavity have a similar structure in the sinus washing devices we developed. These tips, which we have given new special shape, are placed more safely into the entrance of the nose. Owing to the physical fit, it does not physically damage the physiological shape of the nasal cavity (especially for the nose wings). The tips are made slightly smaller as an alternative, along with ensuring that the general lines fit the anatomy for more sensitive people. This structure is surrounded by air cushion (airbag) (3). Thus, when pushed upward to prevent fluid escaping, the pressure is evenly distributed by means of these cushions. Minimal leakages are prevented, no deforming effect does not occur and comfort is ensured. For more sensitive people, the model of this cushion that is inflated after roughly placed has also been developed. An alternative in this context is that the dispensed fluid first fills this cushion, and then goes into the nose. In another alternative embodiment, the pressure to dispense fluid is also imparted to the cushions by means of air conduction. These anatomically compatible tips we have developed to transfer liquids for the nasal washing provide successful and safe delivery of other substances (saline, tonic fluids, liquid or gaseous medicines, various moisturizers, jellies, etc.) into the nose. It is possible to make changes in the scale (dimension) while maintaining the basic feature. Thus, they can be physically connected to different sinus washing apparatus and nasal drug administration systems (drop, spray) and used safely. In these devices, which are known as sinus washing devices, one of the neglected issues is the outlet hole (opening) of the liquid. It is observed that they are usually placed in the exact middle. The fluid delivered in this position causes swirl (whirlpool, vortex, turbulence) in the front part of the nasal cavity. This area, which is most affected by the external weather conditions, is the region where the most undesirable foreign particles are found. Due to the turbulence/vortex, these particles are separated from the region they are holding (especially from the nose hairs) and are transported to the inside by the liquid flow to the proximal part. This unwanted situation leads to some negativities. To solve this problem in this regard, the placement of the exit hole (opening) on the tip also has been modified in the sinus washers we developed. As an alternative embodiment, the liquid outlet opening is precisely directed towards the direction in which the liquid goes inward. To achieve this position, the direction is slightly shifted to the medial side (4). This position makes it easier for the liquid to move to the destination that has to go. Also, the flow of liquid swirls swirl (whirlpool, vortex, turbulence), and thus pressure on the nose wings and nasal cavity are prevented. Thus, they do not cause enlargement in the nose wings and the entrance.

In some clinical situations, forming swirl (whirlpool, vortex, turbulence) is intended to remove particles adhered to the mucosa. For these cases, the holes (openings) have been directed to different directions such as front-back, mid-down-up, and so on, with models of different diameters from each other. Still more than one exit holes are formed for certain clinical situations (12). The diameters of these holes also have been changed, the largest being directed medially. To ensure the pressure controls, each is taken individually or collectively under the control of a valve and / or one way valve. For situations where these holes cannot be used, specific valves (little caps, lids) have been developed which can securely close their mouths/openings and thereby cancel them. In a more practical model, the ability to rotate to the perforated part (where the holes are on) has been provided and thus, the direction of these holes or outlets can be changeable. Thus, using the same tip, it is possible to guide different directions in the nose, thus better washing of different mucosa areas. This special tip (which has the hole or holes shifted to the medial side or to different directions, and the ability to rotate and to change the direction of these holes or outlets) we have developed to transfer liquids for the nasal washing provides successful and safe delivery of other substances (saline, tonic fluids, liquid or gaseous medicines, various moisturizers, jellies, etc.) into the nose. It is possible to make changes in the scale (dimensions) while maintaining the basic feature. Thus, it can be physically connected to different sinus washing apparatus and nasal drug administration systems and used safely.

Temperature display and / or heat control;

It has been reported that physiological temperature within the nose is within the limits of 30 - 36°C and the optimal temperature is around 33°C. In some studies it has been shown that ciliary movement slows down, when temperatures below 18°C or higher than 40°C, and that ciliary movement stops, when temperatures below 7°C, or higher than 45°C. In addition, it has been understood that changes in temperature effect the physiological pH value, and that hot application makes nasal passages acid, cold application makes alkali. For these reasons, the temperature of any liquid to be used for sinus washing must be optimal. It is not possible to have direct knowledge about the temperature of the liquid to be given in the existing nasal washing systems. People are generally not informed about this issue. It is often observed that the liquid is prepared with tap water, and the temperature is not taken care of. For knowledgeable and sensitive people, it is difficult to achieve an optimal temperature, or to measure the degree also. It is necessary to heat or cool the water or related liquid before putting into the device. Even in these applications, it is impossible to accurately estimate the temperature of the liquid used. In order to solve this problem and to be able to wash at the optimal temperature, the part where the liquid/water is stored (fluid tank, liquid storage, container, water tank, water chamber etc.) and/or the other parts of the washer have been given the ability of informing/ indicating the temperature of the liquid/water. Any part of the washer can show the temperature of the liquid/water before been sent into the nostrils. In this context, the fluid reservoir and/or other components of the washers are equipped with at least one temperature gauge which can utilize at least one of the thermometric properties such as length, volume, pressure, electrical resistance, potential difference, color change and radiation intensities of the surfaces. At least one of the any temperature gauges which may be mechanical, electrical, direct contact [expansion type thermometers (liquid expansion- bimetallic type, gas thermometers), thermistors, resistance thermometers, thermal couples (thermoeleman, thermocouple), liquid crystal thermometers, combined-circuit thermometers], non-contact devices (optical thermometers, infrared thermometers) etc. has been used in the manufacture of the sinus washing device and / or has been subsequently mounted and/or glued and/or painted (5, 6). These temperature meters use at least one of the temperature scales included in the international or regional reference system. They have been given the ability to notify these temperature units visually and / or figuratively and/or audibly. These notifications are capable of providing numerical information for situations that need to be precise. For situations that need to be practical, models that simply classify as normal / appropriate, high or low have also been developed. In the models manufactured for children's use, all of the fixtures, especially the colors and/or sounds used in these notifications, have been made sympathetic/charming/lovely.

In the case of sinus washing models (MSW), which we have developed within the scope of being practical and mobile, thermometers that do not need any energy are preferred. In this context, at least one of the various temperature meters using energy-free systems has been utilized. In this scope, mechanical temperature gauges are used in an alternative model. In another practical alternative embodiment, the system using the liquid crystal has been incorporated and/or glued and/or mounted in the device. Models using other systems have also been prepared for situations that require more precision. Temperature display system that provides safety in terms of liquid temperature used during sinus washing can be easily and reliably adapted to the liquid storage, dispatch and other components of any sinus washing appliance and other medical washing devices that use or not use energy, whatever the physical form.

Thanks to these sinus wash devices with temperature indicators, it is easier to wash with liquid at the recommended temperature. However, in order to achieve optimal temperature in these devices, it is necessary to heat or cool the liquid inside the container or to add hot/cold liquid. This application provides safety from the viewpoint of temperature, which can be laborious or, in some cases, cause the liquid content to deviate from the ideal concentration. In an more advanced alternative model that solves this problem, it is equipped with at least one heater which can utilize at least one of various energy systems, including electricity, sound waves, microwaves, light waves, etc., which raise the temperature of the liquid in various ways to the optimal temperature. Thermostats have been added to these self- heating washers to stop automatically the heating process when the ideal temperature is reached. Thermostats can be adjusted in different degrees. The ability of the heating and thermostat we added to the sinus washing device we have developed (which have temperature display system and the special tip which has the hole or holes shifted to the medial side or to different directions, and the ability to rotate and to change the direction of these holes or outlets) can be easily and reliably adapted to the liquid storage (container), dispatch and other components of any sinus washing appliance and other medical washing devices that use or not use energy, whatever the physical form.

Pressure control;

In existing washing systems, the pressure is provided gropingly by manual procedure in non-electrical ones. Sometimes this is inadequate; sometimes it is more, leading to much negativity. In systems utilizing gravity, it is tried to be adjusted by increasing the height of the device above the nose level, which is difficult in the treatment process. In order to solve these problems, the devices are equipped with valve systems that prevent and/or warn for over a certain pressure (13, 14). Even when excessive pressure is applied, thanks to the safe valve system that we have added, the sending liquid into the nose which may be harmful is prevented. In our temperature controlled models (EDSW) where the liquid is sent using energy, the pumping system is prevented from rising above certain pressures. Nevertheless, in order to be safer, these pressure-controlled valves have been added (14). In more advanced models, these pressure-controlled valves can be adjusted to different maximum values according to the age group and/or individual differences, and at the same, the ability of audio and/or visual warning has been added. For more precise conditions, at least one evacuation outlet is added (7, 19) to evacuate the excess fluid before reaching to the nasal cavity when the desired pressure is exceeded. With this evacuation outlet it is possible to transport the liquid elsewhere. This evacuation system is also equipped with improved valve systems that will control the pressure. These valves can also be adjusted to various pressure values which are required to function. When the tip of the washing device is in the nose, the pressure may drops or may be reset or even negative (In hand-squeezed models, when the squeezing process is finished, the wall returns to the previous position, a vacuum is formed on the end), and thus, liquid sent into the nose may return and enter into the container. In order to solve this problem and to make it safe, the control valves has been rendered to the one way valve system or the one way valve system has been added. In our energy-free system (MSW), the container has been turned into multiple sections for better control of the press (8). At least one valve is placed between the sections (9). At least one of the valves between the sections is one way. At least one of the sections has the ability to grow more (stretching easily/more flexible) to prevent the overpressure. The section transfer the potential energy gained by extending or flexing to the system, and thus it makes some contribution in the washing.

The ability of adjustable maximum pressure control we added to the sinus washing device (which have temperature display system, the heating appliance with thermostat and the special tips, we have developed) can be easily and reliably adapted to the liquid container, dispatch and other components of any sinus washing appliance and other medical washing devices that use or not use energy, whatever the physical form.

Pressure measurement and monitoring;

Valve systems prevent excess pressure. However, they cannot be useful if the pressures fall below the ideal values. For situations where optimal pressure is to be monitored during treatment, both energy-dependent and energy-independent sinus washing devices are gained the ability of the measuring the pressures statically and/or dynamically generated by the application. The devices have the ability of the audible and/or visual notification- indication and warning features for these measurements. If the pressure is below or above a certain value, they provide the visual and/or audible alerts. The more advanced models can display as numerical value. In another embodiment, the ability of alert audibly the numerical pressure values are provided. In this context, it uses simple mechanical systems for some indications. There is no need for electricity. For some clinical situations, the ability to use all pressure measuring devices and methods and the ability to work with different indicators (complicated mechanical systems and /or electrical systems and/or hybrid systems included) has been added. The systems used in this context, fluid manometer, (micromanometer, barometer, differential manometers, oblique manometer), dead weight, Bourdan tube, Bridgman pressure gauge, diaphragm, capsule or blowing pressure gauge, gage pressure gauge, vacuum pressure gauge, differential pressure gauge, strain gage (shape change- extension), elastic tubes, membranes (displacement or stretching), semiconductor elements (preloaded elements), Piezoelectric elements, spring, silicone, elastic and optical elements, load cell (load cell-hydraulic, pneumatic, strain gauge etc.) are included. For some clinical situations, it has been given the ability to change color according to the pressure. To enhance this color change awareness, different colors, such as white, orange, yellow, blue, purple, red, green, combinations or tones of these colors are used. As a more improved model, shape of the part indicating color change is modified in a manner to provide information on pressure. In this context, colors indicate numbers of pressure values planned at production phase and/or sign, color, number, letter, emblem, or symbol that correspond to a certain pressure. This color change can be ensured by numerous methods. A method employed for this purpose is coating technique. It is based on color change of semi-conductive sensor consisting of improved thin film polymer. A more improved alternative or additional method to make color change is to obtain conductive or different polymers by chemical means. In another alternative or additional method for color change, visible signs or figures are made visible according to the pressure in the device. These are indicators/markers that correspond to a certain pressure such as sign, color, number, letter, emblem, or symbol. For more distinctive situations, these constructions take a palpable shape that can be handled according to the pressure inside them. These shapes are markers that correspond to a certain pressure such as sign, color, number, letter, emblem, or symbol. An example of this last form is; the structures that exit from their houses according to the pressures and can display the values numerically.

The ability of pressure measurement and monitoring we added to the sinus washing device (which have temperature display system, the heating appliance with thermostat and the special tip, maximum pressure control we have developed) can be easily and reliably adapted to the liquid storage, dispatch and other components of any sinus washing appliance and other medical washing devices that use or not use energy, whatever the physical form.

Volum control;

The space to be washed shows individual differences in total area and volume. This is true even among people with the same body size. At the beginning and following periods of the washing, due to anatomical differences, needed or sufficient amount is personally specific. Increasing the volume of water and /or fluid from these quantities leads to undesirable results. Less given causes the washing to not take place at the ideal level. In order to solve this problem, the ability to control volume at every step of washing has been gained. In this way, it is possible to select the volume of liquid to be dispensed at the beginning and/or at the following periods of the washing and/or in total so as to make it more comfortable during the use. Apart from pressure control, it is an extra option. In this context, we have installed the application in the liquid dispensing device in our electrical washing systems. For situations where it is desired to be safer for volume controlled use, the maximum pressure limitation is also added. In our non-electrical systems (MSW), the container has been turned into multiple sections for better control of the volume (8). At least one valve is placed between the sections (9). At least one of the valves between the sections is one way. At least one of the sections has the ability to grow more (stretching easily/more flexible) to prevent the overpressure. The section transfer the potential energy gained by extending or flexing to the system, and thus it makes some contribution in the washing.

The ability of volume control we added to the sinus washing devices (EDW and MSW which have temperature display system, the heating appliance with thermostat and the special tips and adjustable maximum pressure control, and the ability of pressure measurement and monitoring we have developed) can be easily and reliably adapted to the liquid container, dispatch and other components of any sinus washing appliance and other medical washing devices that use or not use energy, whatever the physical form.

Liquid Delivery Rate/Speed;

The washed medium is not a single space. The maximum pressure control alone is sometimes insufficient, because the washed space is linked to more than one anatomic structure and because the individual differences are at an advanced level. Because of the differences in anatomical structures and/or differences in the size of the persons, the resistance in the places/canals where the liquid is delivered varies. It is also often possible that this change is caused by the amount of fluid initially flowing in the beginning of the amount and direction of the washing. This causes the amount of liquid going into to change continuously and irregularly. That is to say, maximum pressure control system at the beginning and following steps of the washing can be safe; however, it may be insufficient for the ideal application. In the washing process, there are unexpected decreases or increases in the amount of liquid going into to the nose due to variability in the structure of the region that the liquid reaches, or due to the medical condition there or the swirl (whirlpool, vortex, turbulence) that may occur. Some people cannot tolerate these changes often. In order to provide a safer and more comfortable application, our temperature controlled sinus washers have also been equipped with speed control devices as an extra option. The speed control system, which is added as an alternative safety, also keeps the amount of fluid to be delivered constant in a certain time period and/or controlled during the application. While the speed to be applied during the treatment can be selected, for the more sensitive people, the ability of the setting to various values at the beginning, at the various steps, and at the end of the treatment is provided. When the speed kept constant, the pressure varies according to the resistance of the liquid being dispensed. One of the goals in the nasal washing is to make the water flow clean the sinuses by generating vacuum at the sinus orifices. Since the pressure in this application is continuously changing, these fluctuations in pressure increase the vacuum effect. An adjustable maximum pressure limit is also added to avoid dangerous levels when changing this pressure. In this context, more than one valve is used in the system. In our models that use electricity, besides the adjustable maximum pressure option, the ability to determine the speed separately from the pressure is provided, equipped with the necessary attachments and the related application is installed. For increased safety in volume control applications, the maximum pressure limitation has also been added for extra safety. For situations where speed is to be better controlled in our non-electrical systems (MSW), the container has been turned into multiple sections (8). At least one valve is placed between the sections (9). At least one of the valves between the sections is one way. At least one of the sections has the ability to grow more (stretching easily/more flexible) to prevent the overpressure. This section transfer the potential energy gained by extending or flexing to the system, and thus it makes some contribution in the washing.

The ability of liquid delivery rate/speed control we added to the sinus washing device (EDW and MSW which have temperature display system, the heating appliance with thermostat and the special tip, adjustable maximum pressure control, volume control and the ability of pressure measurement and monitoring we have developed) can be easily and reliably adapted to the liquid container, dispatch and other components of any sinus washing appliance and other medical washing devices that use or not use energy, whatever the physical form.

It has been reported that the pressure of 30,000 Pascal (4.4 psi) to 480,000 Pascal (70 psi) is successful and safe for washing the nasal or sinus cavity. In similar investigations, the flow rate could be between 1-20 mL / sec. In another study, it was suggested that the pressure in the sinus wash process be between 0-5 psi. Some studies have shown that the total intranasal volume is approximately 16 mm , the opening of the nostrils is approximately 357 mm on average, but the difference between the persons is too much. These values for adults are lower in the child age group. Even if age and body measurements are taken as basis, personal anatomical differences are very much. Considering the individual tolerance diversity, it is necessary to provide choices in a wide spectrum. Sinus washing devices are for long-term use. Users desire to practice specific to their needs and habits. In these sinus washers we have developed, temperature, pressure, volume, speed and many other variables are offered as options. They can reach the best settings in a short time by experimenting with these options, which are all safe, reliable. They offer great advantages for later use. All these options provide a high level of compliance with the consumer.

Fight against infection;

The use of sinus washing devices has been claimed to cause serious infections such as meningitis. So sterilization of the device is important. Routine cleaning precautions are often sufficient. Some additional measures have been added to prevent infection in rare cases and for those very sensitive; it has been reported that microorganisms are damaged if direct or alternative electrical current is passed, especially for microorganisms suspended in liquid media. It has proven to be more effective if the electric current is intense and over time. To insure the sterilization of the liquid in the container, direct and/or alternate electric current are provided to pass through at different intensity and duration in our medical washing devices which use electricity. This setup can also be used for heating the fluid. In this context, the material used in the construction of the container can be transmitting the direct and/or alternating electric current. In this context, conductive plastic -polymer and/or metal constructions and/or metal structures in plastic and/or metal dust in plastic are used in some parts of the container. In terms of safety, some parts of the device are made nonconductor (dielectric) and some materials that can prevent the electric current from being transmitted uncontrollably to other parts have been added. The use of metal provides extra strength. In the system used manually, the metal material has been installed in a way that will not prevent the being squeezed of the containers to send the fluid.

When fluid reservoirs/containers are examined in some of the existing sinus washing devices, it has been determined that they were electrostatically charged due to the materials used in their construction. This situation, especially in the reservoirs/containers, causes the formation of the infective ground and pollution in other parts. To solve this problem, the ability of being antistatic or electrostatically permanent or for a different period of times neutral or close to neutrality is provided in our developed devices. In this context, being antistatic by the reduction of the electrical resistance of the inner and /or outer surfaces of the containers and /or by being conductive and /or by distributing effectively static load and /or by the use antistatic polymers / plastics in construction and/or by the antistatic surface coating are provided. The most practical of the various methods used is to add conductive filler/additives to the wall forming structure. Again for the same purpose, carbon black (carbon fibers) was used in varying amounts depending on the indications in the wall. In addition to the antistatic function of these additives, they also have a protective effect against UV rays. For some indications, silver, as well as other metal powders or fibers, are used as filler/additives in various amounts in various regions. The use of silver and some elements also ensures that it is an infectious protective feature. Antistatic cord-cable has been developed as an appendage (as an additional attachment) for the devices where alteration of the container material is not desired, or when it is desired to immediately remove the electrostatic charge. This additional attachment (cord-cable), which can be easily connected to the reservoirs/containers, is connected to the ground connection (grounding). For situations where the electrostatic charge is too risky, as a more advanced application, special conductive fibers or metal wires which can be easily connected to this grounding line are placed in the wall of the container. While the fibers or metal strands used provide extra strength, they have been installed in a way that will not prevent the being squeezed of the containers to send the fluid in the system used manually. This configuration provides better discharge of static electricity. A further application is that the electrostatic charge can be changed. With external electricity, the static charge is reversed. The direction of this load (+/-) can be changed periodically. Thus, it is ensured that solid and/or liquid particles adhering to their inner or outer surfaces are securely separated without strongly adhering and growing better and earlier. This change also has a preventive effect on colonization of microorganisms. This conductive structure, equipped for antistatic purposes, can be used for electrical conduction. This antistatic frame also used in heating and disinfection processes by ensuring that it is more conductive against electricity. As a precaution against the risk of infection, it has been provided that reservoirs/containers are to take the advantage of sound waves. Ultrasonic vibrations have been shown to be effective in eliminating/destroying many gram positive and negative microorganisms. It has been proven that these vibrations are more effective in liquid. The more the frequency of the ultrasonic waves increases, the more its blasting/smasher effect goes up. Within this scope/within this framework, the features that will produce or transmit the ultrasonic waves are developed in the devices. In order for these waves to be transmitted to the liquid and not to spread around, the textures/structures that reflect these ultrasonic waves and/or prevent them from being transmitted by absorbing are also added in the reservoirs/containers of the devices. In order for these waves to be transmitted to the liquid and not to spread around, the textures/structures that reflect these ultrasonic waves and/or prevent them from being transmitted by absorbing are also added in the reservoirs/containers of the devices. These ultrasonic waves can also be used in the heating the fluid. An important and useful alternative for the fight against infections and for heating together (at the same time) is the use of electromagnetic waves that are labeled/called as microwaves (super-high frequencies), which have germicidal effects. These waves, which are more effective especially in liquid-containing environments, are also very efficient in the heating process. For some indications, the formations which will reflect these waves and/or textures/structures which prevent them from being transmitted and spreading around by absorbing are also added in the reservoirs/containers of the devices. In some cases, a feature that can benefit from microwave oven used at home is gained to these reservoirs/containers. Another feature gained to our systems for similar purposes is the ability to transmit or produce light. Within this scope/within this framework, an application/embodiment benefits from high energy low- wavelength light. At the end of this washing application, it accelerates the drying process of the containers and prevents the formation of the basis for infection. Moreover, It also provides heating of the fluid at the beginning of the washing application. An option in lights, which is transmitted or produced, is ultraviolet (UV) that has antimicrobial effect. It is added to the equipment as an effective alternative for sterilization. In addition, by transmitting visible wavelength light to the system, in some cases it provides image clarity to the user in the devices and its attachments. Visible light waves are transmitted to the tip through materials such as clear/transparent plastic / polymer and / or unbreakable glass, fiber optic structure for some rare indications. They can also transmit the red light (approximately 630 nm wavelengths) and infrared (approximately 850 nm wavelengths), which have been proven analgesic and anti-inflammatory effect, separately or together via this light transmitting structures. Light sources capable of generating and modulating all of these light types, such as the types/genus, duration, intensity, etc., of all these types of light, which can be produced separately or in combination, are developed in the sinus washing devices or as a supplementary devices (10). In this context, the containers are made of transparent / clear plastic-polymer, unbreakable glass or blends for light-transmitting properties. For more secure situations, especially exterior surface and some areas are made and/or coated with a plastic - polymer which does not transmit light, particularly UV in terms of users and environment safety. The new equipment/novelties disclosed on the topic of the fight against infection which uses energy are added to the constitutions/structures of the EDW's, especially electrical energy, or introduced as extra features and/or incorporated as an additional apparatus. Our mobile, practical sinus washing devices (MSW), which do not require energy, are featured in such a way that they can benefit from them as an additional apparatus. In this context, as an embodiment, the liquid container benefits from these functions (infectious protection, sterilization, antistatic, heating) with or without contact by placing it on, under or beside these apparatuses (11).

Vacuum formation;

An additional feature, which will make negative pressure in the nostril and form vacuum, has been developed to facilitate the sinus washing process, to use liquid in excess amount and to provide convenience in sinus washing for situations where it is not desirable to increase the pressure during washing. This additional apparatus is placed in the other nostril at the beginning of nasal washing. Thus, it is possible to withdraw from the one nostril by helping to push the liquid into the other nostril for nasal washing. It is easier to canalize to the destination where the liquid should go. In these apparatuses, the valves controlling the vacuum pressure and the anatomically compatible heads/tips we developed are also used. Since the nasal mucosa in babies is very sensitive, more than one aspiration hole is formed on the vacuum conducting pipe besides the valves as an alternative safety for this age group. When some of these holes come into contact with the mucosa, others will absorb and the mucosa will not be damaged. Alternatively, for situations in which the second hand is not to be occupied, it can be mounted (put together) to the sinus washers permanently or temporarily or it is possible to combine them in the production stage. In these situations, the manual effort is designed to help in both ways. The energy-using sinus washers (EDW) have also been added a feature to make vacuum. In this model, the vacuum forming structure is permanently or temporally connected to the liquid conducting structure and has the ability to move jointly or separately. This additional apparatus (when giving a liquid through the nostril, which can make vacuum in another to remove it) has an additional feature; it can clean and remove the material found at a distance easily accessible through the nostril, which is likely to be pushed forward unwantedly during the washing by making the vacuum before the nasal washing starts. This vacuum assisted application is more beneficial for those who cannot stay standing and are lying down. It also ensures that nasal washing is safer in the child's age group. At the end of the washing process, it also provides to remove the residual liquid in the nasal passages that may make the feeling of discomfort in the patient. It increases the comfort of the user. The control and safety mechanisms we have added in the nasal cleaning apparatus, which we have developed under the name of the sinus washer, minimize the complications for medical washing. In the washing of other organs also, these added control mechanisms provide similar advantages with the addition of some organ- specific innovations and modifications. MOUTH (ORAL AND DENTAL) WASHING:

Many washing devices have been proposed for oral hygiene. The most important factor that is missing in these devices which provide advantages in different areas is the temperature factor. In existing washing systems, it is not possible to know and control the temperature of the liquid to be given. There are no systems to notify the temperature of the heater or the liquid in electrical appliances and apparatus attached to the tap. Hot or cold sensitivity is encountered in the teeth or gums problems. Even if this is not the case, sudden temperature changes in the tissues that it touches causes mechanical expansion and contraction. This effect causes some wear/ abrasion on the teeth. It may make the tooth coating, fillings and prostheses to slide minimally from where they are glued, and it causes to separate them early in case the long term use. The liquid to be used to wash should be close to the mouth temperature, ie the body temperature. Even when it is applied to the high-fever people for various reasons, the current body temperature should be considered. The parameters such as pressure, volume and speed to be used must be adjusted taking into account individual differences and preferences.

All the abilities we have added to the sinus washing devices which use electrical power (temperature display system and/or the heating appliance and/or the thermostat and/or adjustable maximum pressure control and/or the pressure measurement and monitoring and/or the volume control and/or the speed control and/or fighting against infection) have been adapted and added to the electrical or mobile mouth washing (oral and dental washer) devices (20, 21, 25). In these washing devices, only the relevant parameters are given different values. The other significant change has been made on the tips of the washers that send the liquid. The tips in these devices are basically required to condense into a narrow area that needs to be cleaned. Locations to be washed are the front face and upper side having some indentations where the residues can be easily gripped of the teeth, and the structures under prosthesis. It is rounded tip with narrower opening / hole for use here (16). A larger one for the gingival, palate and tongue structures in the mouth has been developed. The most needed part to be washed is interdental space. To wash them separately is time consuming. In order to save time, it is ensured that the tips of the dental flushing machines have multiple holes/ openings, and it is possible to clean more than one interdental space at the same time (18). In these tips we developed, the distances between the dispensing points are produced and prepared at different values, or in the more complicated model, the distance between the holes at the same tip is adjustable. Thus, it can be customized according to differences such as ages, body size, tooth size, etc., so it provides a person- specific application. For those with longer teeth as the tooth spacing will be longer, to be more effective the exit hole has been made approximately rectangular in shape or it has been developed to be changeable. These tips with rectangular openings shorten the time for washing the interdental spaces when they are held vertically, and shorten the time for washing the tongue when it is held horizontally. In the more advanced model, a feature that the position of the tips can be changed without changing the grip of the device has been added. It also provides an advantage in washing the area between the gums and cheeks. The tips carrying these features can be produced in different sizes, and also the tips which are adjustable to show all these features in practice have been developed. Also having regard to the preferences, the tips with square, elliptical, triangular shaped openings have also been developed. It is also possible to use these tips by modifying in other routine devices. Apparatuses which are small enough to be entered into interdental spaces for some specific clinical situations have also been developed. For some occasions where very good cleaning has to be done, an apparatus has been developed which allows it to reach the back of the tooth and between the teeth from behind. While it can wash the part that appears in normal use, the tip can be manually moved forward and downward or upwards and it makes it possible to easily clean the tooth back surfaces and interdental spaces. All of the features we have developed have a very wide spectrum of parameters, and the more comprehensive electric device has been given the ability to be used both for tooth (oral and mouth) washing and sinus washing. Only by changing the tips, it is made and available for both purposes. Modes of relevant indications have been added. A new alternative apparatus that does not need electricity with the purpose of oral and tooth washing have also been developed.

This device, which is portable even on journeys, includes all the features and additional attachment/apparatuses that we have added on the sinus washers which don't need any power (MSW). The basic change is the tips. It is possible to use sinus washing devices that do not use electricity by only changing their tips. Nevertheless, mobile mouth washers with all the safety and comfort features have also been developed in terms of wider and more detailed coverage of the respective parameters. The liquid / water reservoir/container is organized larger according to personal preferences. The tips are similar to those of electric tooth washers. Models that benefit from tap water, which is very practical in tooth washing, have also been developed. The biggest problem with these existing apparatuses that use this system is temperature control. It is not possible to know the temperature from tap water in detail. In order to solve this problem, the device has been provided with a apparatus for notifying the temperature at least one point in its components, especially the water-conveying structure. In these systems, it is used after the hot / cold setting of the water flowing from the faucet is brought up to the ideal (until the temperature reaches the appropriate level). Another problem is that some values such as the pressure-speed of the liquid coming from the tap are not known. It is equipped with the abilities that display of the temperature and/or maximum pressure limitation and/or pressure measurement and monitoring and/or volume and/or speed adjustment in sinus washing devices. In order to avoid from the sudden change in flow rate of tap water, at least an additional apparatus/attachment, which can absorb excess pressure by growing/expending due to special elasticity, and then return back the liquid stored to the flow when the pressure become normal, has been installed in the devices. Another alternative for similar purposes is the delivery of the excess liquid with the drain to the sink. Preferably, the drain is preceded by a valve placed for pressure control purposes. Thus, this helps to control the pressure. The system which takes advantage of this tap can also be successfully applied in sinus washing devices in cases where the necessary reorganization in the adjustable parameters and the use of tap water is not contraindicated. This mobile device has adapters to suit every tap. Relevant water-conveying pipes are spiraled for the convenience of transport. It takes up less space and has the ability to extend. Alternatively, at least one bendable structure or one piston rod bearing mechanism consists of at least two components is provided in the any compartments of the washing devices including a head-mounted adapters.

In cases of frequent relocation, as an alternative to take up less space, the pipes are formed of at least two parts and can be connected to each other and separated. In another alternative for similar purpose, it is made in a way that pipes can pass/enter into each other. A specific brush tip has been developed for the fact that our tooth washing machines is used for brushing. Mechanical cleaning can be done while washing with these brushes attached. Alternatively, it is equipped with a moving toothbrush that can rotate depending on the pressure we provide in the system. There is no need for hand movement for mechanical cleaning when using this brush. An additional storage that can give the substance such as drugs (antiseptics, etc.), whitening agents, fragrance, etc to the water reaching to the tooth has been added. It provides additional cleaning by mixing with washing water. The tip of the vacuum forming device which we have developed for sinus washing has been modified so that it can be used for cleaning before tooth washing. It is used to clean the interdental spaces.

ADDITIONAL FEATURES:

All electric powered devices we developed are featured the ability of working by cell, battery or charger. It is marked with some determiners like the color, figure, number, symbol, etc. to know the volume and fullness rate of the containers and to understand the distance and direction of the tip entered within the nostril. These markings also help to understand that they are placed close to the ideal position during placement. All or at least certain components of the washing devices and/or at least one of the markers are made visible in absence or lack of light in order to provide the visibility of the device's position for a while during using. For this purpose, light producing and/or emitting and/or light storing and emitting and/or reflecting substances are used or covered or painted on the washing devices in their manufacture. In this context, an alternative application is to make some parts or all of the devices phosphorus. In addition, these features in the mouth washing system have been made especially for the models for children's age group. In existing devices, the fluid container, the conduit which transfer/convey the fluid to the nose and the tip are fixedly connected to each other. During the application, the device must change position while giving direction to the head. This makes manipulation difficult. Also, sometimes it causes the container not to drain completely. In order to overcome this problem and to provide easy use, the ability to change the direction and length has been added on the conduits which transfer/convey the fluid to the nose and the tip. In this context, at least one lockable bendable structure and/or a lockable piston rod bearing mechanism consists of at least two components is provided (17, 22, 23, 24). These novelties provide the ability to be rotated/oriented 360 degrees and/or extended at least 2 cm. This extension and deflection feature can also be added to the system which benefits from the gravity, and make it possible to easily increase the pressure. Also, these features have been added to the mouthwashing system. In addition, the liquid and water containers are shaped to be hand -held easily in terms of ergodynamic (15). The surface with which the hands or fingers come into contact has been made of various shapes, directions, depths and lengths, such as crooked, sawed, threaded, serrated, grooved, indented, protruding or notched etc. This feature provides ease of grip during manipulation and prevents slippage. For some people, It is a matter of not being able to tolerance (endurance, patience) the liquid mass during washing. To solve this problem for these people, Models which can deliver the air with liquid have been developed. Supplementary structure has been added to the liquid container in a manner that it is possible to mix the desired amount/quantities of air with the liquid flow. It benefits from the same system used as the driving force at the same time. This additional section also has its own one-way valve. This supplementary different section from this liquid container has the ability to deliver medication in some medical situations. Its another function is to provide the removal of residual fluid which causes discomfort at nasal passageway at the end of the washing process by sending air only. It increases the comfort of the user. For some very sensitive situations, the sinus washer has been filtered. It guarantees the cleanliness of the liquid that is sent. Similarly, the air-delivering devices are also equipped with a filter to clean the air.

Accordion style (in the form of an accordion) container;

It is provided that the liquid container of the washing devices is partly or completely bellows structure/bellows like (accordion style/shape) in order to take up less space. When this container is empty, the opposite edges almost stick to each other. When the liquid is placed/filled, it opens like an accordion and reaches its full capacity. When it is full, its shape may be different models like rectangular prism, cone, sphere, etc. according to the preferences of the users. In this construction, the pressure does not drop to zero or become negative during the washing process, because the container is compressed manually and is not flexible enough. Thus, the return of dirty liquid to the container is prevented.

In the models of the safe washing devices manufactured for the use of children, the components of the devices have been cute/ pretty by given the form of some animals like elephants, dinosaurs, pandas, rabbits, chicks, squirrels, ducks, bear, etc. and toys like fire truck, police vehicle, etc. The shaping the components of the devices for the pleasant appearance have been provided so that it does not disrupt the function-washing process. For the same purpose (to be cute/pleasant), different colors have been used and / or alternatively, some sound can be produced during washing. All of these structures have also been given flexibility, softness, elasticity, transparency, non-adherence, anti-infectivity, non-allergic and sterilizable properties for some clinical situations. Materials resistant to heat, non- carcinogenic effect when heated, and substances with medical grade properties have been used in manufacturing. It can be uncomfortable/difficult to apply manual power to the containers of the washing devices which does not use electric power and may cause undesired changes in the pressure during washing process. To solve this problem, it has been given the ability to pre-store / potentiate the necessary energy to ensure that the liquid in the container sent at the appropriate pressure. In this context, the necessary energy source is provided by adjustable metal or plastic spring systems.

After the container is filled with liquid, it is connected to the spring system to provide liquid movement. The spring is established with hand power (26). The pressure applied is checked again with the safety valves and the washing process is carried out. The alternative model we have developed to provide the required energy during washing is to supply the energy storage battery (pre-stored / potentiated) with the compressed gas system.

Before to start the washing, the gas in some kind of the pneumatic battery is compressed by the pump used manually (by human power) (27). During washing, the corresponding valve is opened to allow movement of the liquid by the energy in the compressed gas. The corresponding valve has the ability to adjust the pressure to the desired level. A similar energy storage system has also been gained in the storages we have developed to form a vacuum.

Descriptions of Figures;

Figure-1: Top-front view of mobile sinus washers (MSW) and its additional attachment

Figure-2: Top view of the fluid sending headpiece structure (tip, cap) and container of the mobile sinus washers (MSW) and of energy depentent sinus washer (EDSW).

Figure-3: Energy dependent sinus washer (EDSW) and fluid sending structure, view of the mouth washing device converted by replacing fluid sending structure end with mouth (intraoral and teeth) washing attachment (specific tip, cap, nozzles).

Figure-4: Appearance of mobile sinus washer (MSW) converted to mobile mouth washer by replacing headpiece end with mouth washing attachment (specific tip, cap, and nozzles) and the container made suitable for hand-grasping.

Figure-5: Appearance of energy dependent mouth (intraoral and teeth) washing device. Explanations of references on figures

\. Structure of fluid sending headpiece (tip, cap, nozzle, end) suitable for anatomical structure of nostrils of mobile sinus washer (MSW) and energy dependent sinus washer (EDSW).

2. Fluid sending headpiece in semi conical- prism like structure of mobile sinus washer (MSW) and energy dependent sinus washer (EDSW) suitable for anatomical structure of nostrils.

3. Airbag around headpieces where mobile sinus washer (MSW) and energy dependent sinus washer (EDSW) transfer fluid into nasal cavity.

4. Slightly medial shifted structure of exit hole at the end of headpiece of mobile sinus washer (MSW) and energy dependent sinus washer (EDSW).

5. Temperature indicator of energy dependent sinus washer (EDSW)

6. Temperature indicator of mobile sinus washer (MSW)

7. Discharge end (evacuation exit) of mobile sinus washer (MSW)

8. Multiple sections of the container (multi-chamber structure) of mobile sinus washer (MSW)

9. Valve of the sections of the container (multi-chamber structure) of mobile sinus washer (MSW)

10. Light generating structure of energy dependent sinus washer (EDSW)

11. Additional apparatus (additional attachment) of mobile sinus washer (MSW)

12. Multi holed structure (more than one exit holes/openings) of fluid sending piece in mobile sinus washer (MSW) and energy dependent sinus washer (EDSW)

13. Pressure valve of mobile sinus washer (MSW)

14. Pressure valve of energy dependent sinus washer (EDSW) 15. Easy grasp ergonomic structure for container of mobile sinus washer (MSW) and mobile mouth washing devices.

16. Fine-tipped structure of the exit hole of mouth washing devices.

17. Lockable bendable structure and/or a lockable piston rod bearing mechanism of mobile sinus washer (MSW)

18. Multiple fluid output holes (more than one exit holes/openings) of headpiece of mobile mouth washing devices and energy dependent mouth washing devices.

19. Discharge port (evacuation exit) of energy dependent sinus washer (EDSW).

20. Light generating structure of energy dependent mouth washing devices.

21. Pressure valve of energy dependent mouth washing devices.

22. Lockable bendable structure and/or a lockable piston rod bearing mechanism of energy dependent sinus washer (EDSW)

23. Lockable bendable structure and/or a lockable piston rod bearing mechanism of mobile mouth washing devices.

24. Lockable bendable structure and/or a lockable piston rod bearing mechanism of energy dependent mobile mouth washing devices.

25. Temperature indicator of energy dependent mouth washing devices.

26. Spring system ensuring fluid movement of mobile washer.

27. Pneumatic battery, compressed gas section of mobile washers.