Delivery system and method of use for the eye

• US 10,390,993 B1
• Filed: 05/06/2019
• Issued: 08/27/2019
• Est. Priority Date: 05/19/2000
• Status: Expired due to Fees

• Current Assignee: Ivantis Inc.
• Original Assignee: Ivantis Inc.
• Inventors: Berlin, Michael S.
• Primary Examiner(s): Wiest, Philip R
• Application Number:
  US16/404,530
• Publication Number:
  US 20190254874A1
• Time in Patent Office: 113 Days
• CPC Class Codes: A61F 2009/00868 Ciliary muscles or trabecular meshwork
• CPC Class Codes: A61F 2009/00891 Glaucoma
• CPC Class Codes: A61F 9/00736 Instruments for removal of intra-ocular material or intra-ocular injection, e.g. cataract instruments A61F9/008 takes precedence
• CPC Class Codes: A61F 9/00781 Apparatus for modifying intraocular pressure, e.g. for glaucoma treatment drainage implants in general A61M27/002
• CPC Class Codes: A61F 9/00802 for photoablation

Abstract

An apparatus having an inserter device with a shaft disposed in an interior space and an intraocular implant adapted to self-retain to an inner wall of Schlemm'"'"'s canal. The intraocular implant has a proximal portion sized and shaped to reside within an anterior chamber of the eye, the proximal portion having a proximal opening; a distal portion sized and shaped to reside within Schlemm'"'"'s canal of the eye, the distal portion having a distal opening, and a passageway extending in a straight line from the proximal opening to the distal opening to conduct fluid from the anterior chamber to Schlemm'"'"'s canal. The shaft of the inserter device is adapted to advance the intraocular implant out of the interior space and through an inner wall of Schlemm'"'"'s canal.

Claims

1. A method of maintaining an opening in a trabecular meshwork of a patient'"'"'s eye to conduct fluid from an anterior chamber into Schlemm'"'"'s canal of the eye, the method comprising:

advancing an inserter device from the anterior chamber into the trabecular meshwork;

advancing a shaft distally within the inserter device against an implant within the inserter;

advancing the implant distally through an opening in a distal end of the inserter device;

pushing the distal end of the implant into and through the inner wall of Schlemm'"'"'s canal to establish a passageway extending in a straight line from a proximal opening of the implant to a distal opening of the implant; and

conducting fluid from the anterior chamber through the implant into Schlemm'"'"'s canal.

2. The method of claim 1 wherein the conducting step comprises conducting fluid from the anterior chamber through the proximal opening and passageway.

3. The method of claim 2 wherein the conducting step further comprises conducting fluid from the passageway through the distal opening into Schlemm'"'"'s canal.

4. The method of claim 1 wherein the implant comprises a surface facing the proximal opening, the method further comprising engaging the proximal surface with the inner wall of Schlemm'"'"'s canal.

5. The method of claim 1 further comprising engaging the trabecular meshwork with a distally-facing surface of the implant.

6. The method of claim 1 further comprising forming an opening in the trabecular meshwork, the method further comprising advancing the inserter device into the opening.

7. The method of claim 6 wherein forming an opening comprises forming the opening with a cutting tool.

8. A method of maintaining an opening in a trabecular meshwork of a patient'"'"'s eye to conduct fluid from an anterior chamber into Schlemm'"'"'s canal of the eye, the method comprising:

advancing an inserter device from the anterior chamber into the trabecular meshwork;

advancing a shaft distally within the inserter device against an implant within the inserter device;

advancing the implant distally through an opening in a distal end of the inserter device;

pushing a distal portion of the implant into and through an opening in the inner wall of Schlemm'"'"'s canal;

disposing a proximal portion of the implant in the anterior chamber, the proximal portion of the implant comprising a proximal opening; and

engaging an inner wall of Schlemm'"'"'s canal on opposite sides of the opening with an implant surface.

9. The method of claim 8 further comprising conducting fluid from the anterior chamber through the implant into Schlemm'"'"'s canal.

10. The method of claim 9 wherein the implant further comprises a passageway extending in a straight line from a proximal opening of the implant to a distal opening of the implant, the method further comprising conducting fluid from the anterior chamber through the proximal opening and passageway.

11. The method of claim 10 wherein the conducting step further comprises conducting fluid from the passageway through the distal opening into Schlemm'"'"'s canal.

12. The method of claim 8 further comprising engaging the trabecular meshwork with a distally-facing surface of the implant.

13. The method of claim 8 further comprising forming the opening in the trabecular meshwork, the method further comprising advancing the inserter device into the opening.

14. The method of claim 13 wherein forming the opening comprises forming the opening with a cutting tool.