Apparatus and method for delivering therapeutic and/or other agents to the inner ear and to other tissues
First Claim
Patent Images
1. An apparatus for sustained delivery of a drug or other agent to an inner ear or other tissue of a human or an animal, comprising:
- a needle including a shaft with proximal and distal ends, the shaft including an internal duct in fluid communication with an opening formed in the distal end;
an insertion stop coupled to and extending outward from the needle shaft, a portion of the needle shaft proximate to and including the distal end extending free of the insertion stop; and
a catheter coupled to the needle shaft proximal end and including a lumen in fluid communication with the needle shaft internal duct, the lumen being formed from a fluoropolymer.
1 Assignment
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Accused Products
Abstract
An apparatus may include a needle for sustained delivery of drugs and other agents to the inner ear or other tissues of a human or an animal. The needle can include an insertion stop, and can be placed through the round window membrane or through a surgically-prepared hole in a bone. The needle can be in fluid communication with a port and/or with a micro-infusion or osmotic pump. A cochlear implant electrode can be used instead of a needle.
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Citations
115 Claims
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1. An apparatus for sustained delivery of a drug or other agent to an inner ear or other tissue of a human or an animal, comprising:
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a needle including a shaft with proximal and distal ends, the shaft including an internal duct in fluid communication with an opening formed in the distal end;
an insertion stop coupled to and extending outward from the needle shaft, a portion of the needle shaft proximate to and including the distal end extending free of the insertion stop; and
a catheter coupled to the needle shaft proximal end and including a lumen in fluid communication with the needle shaft internal duct, the lumen being formed from a fluoropolymer. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20)
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21. An apparatus for sustained delivery of a drug or other agent to an inner ear or other tissue of a human or an animal, comprising:
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a needle including a shaft with proximal and distal ends, the shaft including an internal duct in fluid communication with an opening formed in the distal end;
an insertion stop coupled to and extending outward from the needle shaft, a portion of the needle shaft proximate to and including the distal end extending free of the insertion stop;
a catheter coupled to the needle shaft proximal end and including a lumen in fluid communication with the needle shaft internal duct;
at least one in-line anti-bacterial filter in fluid communication with the catheter;
a dispensing device configurable to automatically dispense the drug or other agent at rates of between 1 nanoliter/hour through 200 microliters/hour over a period of at least one hour. - View Dependent Claims (22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 38)
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39. An apparatus for sustained delivery of a drug or other agent to an inner ear or other tissue of a human or an animal, comprising:
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a needle including a shaft with proximal and distal ends, the shaft including an internal duct in fluid communication with an opening formed in the distal end;
an insertion stop coupled to and extending outward from the needle shaft, a portion of the needle shaft proximate to and including the distal end extending free of the insertion stop;
a catheter coupled to the needle shaft proximal end and including a lumen in fluid communication with the needle shaft internal duct;
at least one in-line anti-bacterial filter in fluid communication with the catheter; and
a quick disconnect fitting in fluid communication with the catheter. - View Dependent Claims (40, 41, 42, 43, 44, 45, 46, 47)
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48. An apparatus for sustained delivery of a drug or other agent to an inner ear or other tissue of a human or an animal, comprising:
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a needle including a bent shaft with proximal and distal ends, the shaft including an internal duct in fluid communication with an opening formed in the distal end;
an insertion stop coupled to and extending outward from the needle shaft, a portion of the needle shaft proximate to and including the distal end extending free of the insertion stop; and
a catheter coupled to the needle shaft proximal end and including a lumen in fluid communication with the needle shaft internal duct. - View Dependent Claims (49, 50, 51, 52, 53, 54)
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55. An apparatus for sustained delivery of a drug or other agent to an inner ear or other tissue of a human or an animal, comprising:
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a needle including a shaft with proximal and distal ends, the shaft including an internal duct in fluid communication with an opening formed in the distal end;
a flexible insertion stop coupled to and extending outward from the needle shaft, a portion of the needle shaft proximate to and including the distal end extending free of the insertion stop; and
a catheter coupled to the needle shaft proximal end and including a lumen in fluid communication with the needle shaft internal duct. - View Dependent Claims (56, 57, 58, 59, 60, 61, 62, 63, 64, 65, 66)
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67. A port configured for sub-cutaneous or partially subcutaneous implantation in a human or an animal, comprising:
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a reservoir having a cavity formed therein;
a cap, the cap and reservoir being cooperable to attach to one another;
an elastomeric septum covering the cavity when secured to the reservoir by the cap; and
at least one attachment fixture extending from the port, the at least one attachment fixture including an opening configured to receive a bone screw, the opening sufficiently spaced from the port to avoid cracking bone adjacent a depression in said bone in which the reservoir rests when the port is screwed in place. - View Dependent Claims (68, 69, 70, 71, 72, 73, 74, 75, 76, 77, 78)
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79. A port configured for sub-cutaneous or partially subcutaneous implantation in a human or an animal, comprising:
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a reservoir having a cavity formed therein;
an elastomeric septum covering the cavity;
a catheter having a lumen in fluid communication with the reservoir cavity; and
a cochlear implant electrode having an internal duct in fluid communication with the catheter lumen and a plurality of outlet holes, wherein the outlet holes are in fluid communication with the duct. - View Dependent Claims (80, 81, 82, 83, 84)
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85. A port configured for sub-cutaneous or partially subcutaneous implantation in a human or an animal, comprising:
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a reservoir having a cavity formed therein;
an elastomeric septum covering the cavity;
a catheter having a lumen in fluid communication with the reservoir cavity;
a needle including a shaft with proximal and distal ends, the needle shaft including an internal duct in fluid communication with an opening formed in the distal end and with the catheter lumen; and
whereinthe needle shaft bent, the needle shaft includes an insertion stop coupled to and extending outward from the needle shaft, a portion of the needle shaft proximate to and including the distal end extending free of the insertion stop, or the needle shaft is bent and includes an insertion stop coupled to and extending outward from the needle shaft, a portion of the needle shaft proximate to and including the distal end extending free of the insertion stop. - View Dependent Claims (86, 87, 88, 89, 90)
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91. A port configured for sub-cutaneous or partially subcutaneous implantation in a human or an animal, comprising:
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a reservoir having a cavity formed therein;
an elastomeric septum covering the cavity; and
a three-dimensional antibacterial filter inside the reservoir. - View Dependent Claims (92)
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93. A port configured for sub-cutaneous or partially subcutaneous implantation in a human or an animal, comprising:
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a reservoir having a cavity formed therein;
an elastomeric septum covering the cavity when secured to the reservoir by the cap; and
an outer surface formed from a porous biocompatible material coated with biomaterials that allow binding of human or animal cells to the outer surface. - View Dependent Claims (94, 95, 96, 97, 98, 99)
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100. A method of treating an inner ear of a human or an animal, the method comprising the steps of:
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inserting an injection end of a needle into the inner ear, the needle being in fluid communication with a catheter, and the catheter being in fluid communication with a source of an agent, wherein the agent is selected from the group consisting of an NMDA receptor antagonist, a subtype-specific NMDA receptor antagonist;
an anxiolytic, an anti-depressant, a selective serotonin reabsorption inhibitor, an anti-convulsant, an anti-epilepsy drug, an anti-seizure drug, a calcium channel blocker, a sodium channel blocker, an anti-migraine agent, a muscle relaxant, a hypnotic, an anti-inflammatory steroid, and mixtures thereof; and
dispensing the agent through the needle over a period of at least one hour and without removing the injection end from the inner ear. - View Dependent Claims (101, 102, 103, 104, 105, 106, 107, 108, 109)
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110. A method of treating a disorder comprising the step of:
injecting a therapeutic agent directly into an area of a patient'"'"'s body to be treated with the agent using a device that includes a needle including a shaft with proximal and distal ends, the shaft including an internal duct in fluid communication with an opening formed in the distal end, and a catheter coupled to the needle shaft proximal end and including a lumen in fluid communication with the needle shaft internal duct, the lumen being formed from a fluoropolymer. - View Dependent Claims (111, 112)
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113. A method of treating a disorder comprising the step of:
injecting a therapeutic agent directly into an area of a patient'"'"'s body to be treated with the agent using a device that includes a needle including a shaft with proximal and distal ends, the shaft including an internal duct in fluid communication with an opening formed in the distal end, a catheter coupled to the needle shaft proximal end and including a lumen in fluid communication with the needle shaft internal duct;
at least one in-line anti-bacterial filter in fluid communication with the catheter;
a dispensing device configurable to automatically dispense the drug or other agent at rates of between a 1 nanoliter/hour through 200 microliters/hour over a period of at least one hour. - View Dependent Claims (114, 115)
Specification