Glaucoma implant

• US 5,178,604 A
• Filed: 05/31/1990
• Issued: 01/12/1993
• Est. Priority Date: 05/31/1990
• Status: Expired due to Term

• Current Assignee: Abbott Medical Optics Incorporated (Johnson & Johnson)
• Original Assignee: Iovision, Inc.
• Inventors: Baerveldt, George, Blake, Larry W., Wright, George M.
• Primary Examiner(s): NOT, DEFINED
• Assistant Examiner(s): Owens, Kerry
• Application Number:
  US07/531,010
• Time in Patent Office: 957 Days
• Field of Search: 604/8-10, 604/294, 604/264, 623/4, 606/108
• US Class Current: 604/8
• 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 27/002 Implant devices for drainage of body fluids from one part of the body to another intraocular A61F9/00781; middle ear A61F11/202

Abstract

An implant for use in the treatment of glaucoma is disclosed wherein the implant comprises an elastomeric plate having a non-valved elastomeric drainage tube attached thereto. The plate is elliptical in shape and curved so as to conform to the curvature of the eye. The plate is inserted into the eye in an incision made in the Tenon'"'"'s capsule and sutured to the sclera. The drainage tube is tunnelled through the Tenon'"'"'s capsule and cornea and inserted into the anterior chamber, thus providing patent fluid communication between the anterior chamber and the elastomeric plate. The flexible structure of the plate allows the plate to be easily inserted, thus reducing the surgical procedure length. In addition, the pliable material minimizes th risk of damage and trauma to surrounding tissues in the insertion process.

Claims

1. An implant for draining aqueous fluid from an eye, comprising:

a thin, elastomeric plate having first and second surfaces joined at the plate perimeter, said perimeter of said plate being elliptical, said first and second surfaces curved spherically to conform to the curvature of said eye; and

an elastomeric drainage tube attached to said plate, said drainage tube comprising a first end and a second end, said first end open onto one of said first and second surfaces of said elastomeric plate and wherein said second end extends for connection with said eye to provide fluid communication between said eye and said one of said first and second surfaces of said elastomeric plate, wherein said drainage tube includes a dissolving plug positioned therein, said dissolving plug for controlling said flow between said eye and one of said first and second surfaces of said elastomeric plate.

2. An implant for draining aqueous fluid from an eye, comprising:

a thin, elastomeric plate having first and second surfaces joined at the plate perimeter, said perimeter of said plate being elliptical, said first and second surfaces curved spherically to conform to the curvature of said eye; and

an elastomeric drainage tube attached to said plate, said drainage tube comprising a first end and a second end, said first end open onto one of said first and second surfaces of said elastomeric plate and wherein said second end extends for connection with said eye to provide fluid communication between said eye and said one of said first and second surfaces of said elastomeric plate, wherein said drainage tube includes a dissolving plug positioned therein, said dissolving plug for controlling said flow between said eye and one of said first and second surfaces of said elastomeric plate, wherein said drainage tube further comprises a secondary lumen having diameter smaller than the diameter of said discharge tube, said secondary lumen for providing initial flow between said eye and one of said first and second surfaces of said elastomeric plate.

3. An implant for draining aqueous fluid from an eye, comprising:

a thin, elastomeric plate having first and second surfaces joined at the plate perimeter, said perimeter of said plate being elliptical, said first and second surfaces curved spherically to conform to the curvature of said eye; and

an elastomeric drainage tube attached to said plate, said drainage tube comprising a first end and a second end, said first end open onto one of said first and second surfaces of said elastomeric plate and wherein said second end extends for connection with said eye to provide fluid communication between said eye and said one of said first and second surfaces of said elastomeric plate, wherein said drainage tube comprises first and second drainage tubes, said first drainage tube having a dissolving plug positioned therein, said second drainage tube having a flow restrictor positioned therein, wherein said dissolving plug and said flow restrictor control aqueous flow between one of said first and second surfaces of said elastomeric plate and said eye.

4. An implant for draining aqueous fluid from an eye, comprising:

a thin, elastomeric plate having first and second surfaces joined at the plate perimeter, said perimeter of said plate being elliptical, said first and second surfaces curved spherically to conform to the curvature of said eye; and

an elastomeric drainage tube attached to said plate, said drainage tube comprising a first end and a second end, said first end open onto one of said first and second surfaces of said elastomeric plate and wherein said second end extends for connection with said eye to provide fluid communication between said eye and said one of said first and second surfaces of said elastomeric plate, wherein said drainage tube comprises first and second drainage tubes, said first drainage tube having a dissolving plug positioned therein, said second drainage tube having a flow restrictor positioned therein, wherein said dissolving plug and said flow restrictor control aqueous flow between one of said first and second surfaces of said elastomeric plate and said eye, wherein said dissolving plug is formed of PVA, PVP, or collagen.

5. An implant for draining aqueous fluid from an eye, comprising:

a thin, elastomeric plate having first and second surfaces joined at the plate perimeter, said perimeter of said plate being elliptical, said first and second surfaces curved spherically to conform to the curvature of said eye; and

an elastomeric drainage tube attached to said plate, said drainage tube comprising a first end and a second end, said first end open onto one of said first and second surfaces of said elastomeric plate and wherein said second end extends for connection with said eye to provide fluid communication between said eye and said one of said first and second surfaces of said elastomeric plate, wherein said drainage tube comprises first and second drainage tubes, said first drainage tube secured with a ligature, said second drainage tube having a flow restrictor positioned therein, wherein said ligature and said flow restrictor control aqueous flow between one of said first and second surfaces of said elastomeric plate and said eye to control flow between one of said first and second surfaces of said elastomeric plate and said eye.

6. A method of inserting an implant into an eye for treatment of glaucoma, said implant comprising an elastomeric plate attached to an elastomeric drainage tube, comprising the steps of:

making an incision in the Tenon'"'"'s capsule of said eye;

folding said elastomeric plate to reduce its size;

inserting said folded elastomeric plate into said incision;

releasing said folded elastomeric plate such that said plate returns to its original configuration;

positioning said plate over the sclera of said eye beneath said Tenon'"'"'s capsule; and

positioning said drainage tube within said eye so as to provide fluid communication between said eye and said elastomeric plate.

7. The method of claim 6, further comprising the step of suturing said elastomeric plate to the sclera of said eye to secure said implant to said eye.

8. The method of claim 6, wherein the step of positioning said drainage tube within said eye comprises placing said drainage tube in said anterior chamber of said eye.

9. The method of claim 6, further comprising the step of ligating said drainage tube so as to prevent initial aqueous flow through said drainage tube.