Method of removing an inflated implant

• US 20140221732A1
• Filed: 11/04/2013
• Published: 08/07/2014
• Est. Priority Date: 04/14/2000
• Status: Active Grant

• Current Assignee: Solace Therapeutics, Inc.
• Original Assignee: Attenuex Technologies, Inc.
• Inventors: Dayton, Peter, Gillespie, John Jr., Connors, Kevin G.
• Granted Patent: US 9,044,209 B2
• Time in Patent Office: Days
• US Class Current: 600/30
• CPC Class Codes: A61B 1/307 for the urinary organs, e.g. urethroscopes, cystoscopes
• CPC Class Codes: A61B 17/00234 for minimally invasive surgery A61B17/0218, A61B17/0469, A61B17/12013, A61B17/1285, A61B17/29, A61B17/320016 take precedence
• CPC Class Codes: A61B 17/0401 Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors A61B17/0642 takes precedence; fixation devices for tendons or ligaments A61F2/0811
• CPC Class Codes: A61B 17/221 Gripping devices in the form of loops or baskets for gripping calculi or similar types of obstructions surgical snare instruments A61B17/32056
• CPC Class Codes: A61B 17/32056 Surgical snare instruments for removing or smashing calculi A61B2017/2212; tonsillotomes A61B17/26
• CPC Class Codes: A61B 17/3468 for implanting or removing devices, e.g. prostheses, implants, seeds, wires devices for implanting seeds A61M37/0069
• CPC Class Codes: A61B 17/3478 Endoscopic needles, e.g. for infusion biopsy needles A61B10/0233; catheters with injection needles A61M25/0067
• CPC Class Codes: A61B 17/66 Alignment, compression or distraction mechanisms
• CPC Class Codes: A61B 17/70 Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant
• CPC Class Codes: A61B 17/7065 Devices with changeable shape, e.g. collapsible or having retractable arms to aid implantation; Tools therefor
• CPC Class Codes: A61B 17/7098 wherein the implant is permeable or has openings, e.g. fenestrated screw hollow surgical screws A61B17/864
• CPC Class Codes: A61B 17/82 for bone cerclage apparatus for manipulating wires or straps A61B17/8861; wires, bands or straps other than cerclage A61B17/842
• CPC Class Codes: A61B 18/1442 Probes having pivoting end effectors, e.g. forceps
• CPC Class Codes: A61B 2017/00539 hydraulically
• CPC Class Codes: A61B 2017/00557 inflatable A61B2017/22051 takes precedence
• CPC Class Codes: A61B 2017/00858 high friction, non-slip on handles A61B2017/00429
• CPC Class Codes: A61B 2017/0435 the barbs being separate elements mechanically linked to the anchor, e.g. by pivots
• CPC Class Codes: A61B 2017/22035 for retrieving or repositioning foreign objects
• CPC Class Codes: A61B 2017/22062 to be filled with liquid
• CPC Class Codes: A61B 2017/2215 having an open distal end
• CPC Class Codes: A61B 5/205 : Determining bladder or urethral pressure
• CPC Class Codes: A61B 90/02 : Devices for expanding tissue, e.g. skin tissue implements for holding wounds open, surgical tractors A61B17/02; implantable mammary prosthesis A61F2/12; dilators A61M29/00
• CPC Class Codes: A61F 13/20 : Tampons, e.g. catamenial tampons; Accessories therefor
• CPC Class Codes: A61F 13/26 : Means for inserting tampons , i.e. applicators
• CPC Class Codes: A61F 2/0027 : inflatable
• CPC Class Codes: A61F 2/004 : inflatable
• CPC Class Codes: A61F 2/0059 : Cosmetic or alloplastic implants A61F2/10 - A61F2/16, A61F2/28 take precedence
• CPC Class Codes: A61F 2/042 : Urinary bladders
• CPC Class Codes: A61F 2/10 : Hair or skin implants
• CPC Class Codes: A61F 2/12 : Mammary prostheses and implants
• CPC Class Codes: A61F 2/2481 : Devices outside the heart wall, e.g. bags, strips or bands
• CPC Class Codes: A61F 2/26 : Penis implants
• CPC Class Codes: A61F 2002/30617 : Visible markings for adjusting, locating or measuring
• CPC Class Codes: A61F 2002/3071 : Identification means; Administration of patients
• CPC Class Codes: A61F 2250/0059 : temporary
• CPC Class Codes: A61F 2250/0067 : Means for introducing or releasing pharmaceutical products into the body
• CPC Class Codes: A61F 2250/0068 : the pharmaceutical product being in a reservoir
• CPC Class Codes: A61F 2250/0085 : Identification means; Administration of patients
• CPC Class Codes: A61F 2250/0097 : Visible markings, e.g. indicia
• CPC Class Codes: A61F 5/0013 : Implantable devices or invasive measures
• 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: A61M 2025/0076 : Unidirectional valves
• CPC Class Codes: A61M 2025/1054 : having detachable or disposable balloons
• CPC Class Codes: A61M 2210/1078 : Urinary tract
• CPC Class Codes: A61M 2210/1085 : Bladder
• CPC Class Codes: A61M 25/00 : Catheters; Hollow probes dilators A61M29/00; peritoneal catheters A61M1/285; tracheal tubes A61M16/04; for drainage A61M27/00; for uterus, vagina or rectum A61M31/00 ; for measuring or testing A61B; materials for catheters A61L29/00
• CPC Class Codes: A61M 25/04 : in the body, e.g. expansible A61M25/10, A61M16/0488 take precedence
• CPC Class Codes: A61M 25/10 : Balloon catheters A61M25/0125 takes precedence; embolectomy A61B17/22032; retractors A61B17/02; inflatable balloons for placing stents or stent-grafts A61F2/958 ; stomach balloons for treatment of obesity A61F5/0003; oesophagal tubes A61J15/00
• CPC Class Codes: A61M 25/1002 : characterised by balloon shape A61M25/1006, A61M25/1009 take precedence
• CPC Class Codes: A61M 29/02 : Dilators made of swellable material balloon catheters for angioplasty A61M25/104

Abstract

An inflated implant within an anatomical structure, such as the bladder, may require removal. A method of removing an inflated implant from an anatomical structure can include any of a number of different steps. A removal device can be placed within the anatomical structure. The implant is located within the anatomical structure. After it is located, the implant can be engaged by arms of the removal device. A portion of a surface of the implant can be compromised such that an inflation substance within the implant can escape. The inflation substance can be removed out of the implant through a deflation tube in at least one of the arms used to engage the implant. The implant can then be removed from the anatomical structure.

Claims

1-220. -220. (canceled)

221. A method of removing an inflated implant from an anatomical structure, the implant having been previously implanted within the anatomical structure, the method comprising:

placing a removal device within an anatomical structure;

locating an implant within the anatomical structure, the implant being in an inflated condition;

engaging the implant with two arms of the removal device;

compromising a portion of a surface of the implant such that an inflation substance within the implant can escape;

removing the inflation substance out of the implant through a deflation tube in at least one of the two arms used to engage the implant, the deflating tube having a distal opening positioned in or near the portion of the surface that has been compromised; and

removing the implant together with the removal device from the anatomical structure.

222. The method of claim 221, wherein removing the inflation substance further comprises compressing the implant to evacuate the inflation substance out of the implant.

223. The method of claim 222, wherein compressing the implant comprises squeezing the implant between the two arms of the removal device.

224. The method of claim 222, wherein compressing the implant comprises pushing the implant against the bladder wall.

225. The method of claim 222, wherein compressing the implant comprises retracting the implant into a cannula.

226. The method of claim 221, wherein removing the inflation substance further comprises evacuating the inflation substance out of the implant with suction through the deflation tube.

227. The method of claim 221, wherein removing the inflation substance further comprises expelling the inflation substance into a bladder.

228. The method of claim 221, wherein compromising a portion of the surface of the implant comprises destroying the integrity of the portion of the implant with the application of force, heat, cryogenic energy, light, radiation, energy, pressure, ultrasonic pulse or a chemical.

229. The method of claim 221, wherein compromising a portion of the surface of the implant comprises advancing a sharp tip on the distal opening of the deflation tube through the surface of the implant.

230. The method of claim 221, wherein engaging the implant with two arms of the removal device comprises engaging the implant with two opposing arms of the removal device.

231. The method of claim 221, wherein locating the implant within the anatomical structure further comprises locating the implant anchored to a surface of a bladder.

232. The method of claim 221, wherein locating the implant within the anatomical structure further comprises locating a floating implant within a bladder.

233. A method of removing a balloon from the bladder, the balloon having been previously implanted within the bladder, the method comprising:

locating the balloon within the bladder, the balloon being in an inflated condition;

engaging the balloon with two opposing arms of a retrieval device;

compromising an outside surface of the balloon with a needle-like prong extending from at least one of the arms;

deflating the balloon with the needle-like prong; and

removing the balloon from the bladder.

234. The method of claim 233, wherein deflating the balloon with the needle-like prong further comprises vacuuming out the contents of the balloon through the needle-like prong.

235. The method of claim 233, wherein deflating the balloon further comprises compressing the balloon between the two arms of the removal device.

236. The method of claim 233, wherein deflating the balloon further comprises compressing the balloon against the wall of the bladder.

237. The method of claim 233, further comprising pulling the balloon into a cannula after initiating the step of deflating.

238. The method of claim 233, wherein the balloon is anchored to a surface of the bladder.

239. The method of claim 233, wherein locating comprises locating the balloon with a cystoscope.

240. The method of claim 233, wherein locating comprises locating a floating balloon within the bladder.