Treatment of glaucoma

• US 5,807,302 A
• Filed: 04/01/1996
• Issued: 09/15/1998
• Est. Priority Date: 04/01/1996
• Status: Expired due to Fees

• Current Assignee: Wandel, Thaddeus
• Original Assignee: Wandel, Thaddeus
• Inventors: Wandel, Thaddeus
• Primary Examiner(s): Weiss, John G.
• Assistant Examiner(s): O YONG, KI
• Application Number:
  US08/625,243
• Time in Patent Office: 897 Days
• Field of Search: 604/8-18, 604/49, 604/104, 604/30, 604/31, 604/34, 604/294
• US Class Current: 604/8
• CPC Class Codes: A61F 2/82 Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents stent-grafts for tubular structures of the body other than blood vessels A61F2/04; stent-grafts for blood vessels A61F2/07; instruments specially adapted for placement or removal of stents or stent-grafts A61F2/95; for closing wounds, or holding wounds closed A61B17/04 - A61B17/115; dilators A61M29/00
• CPC Class Codes: A61F 9/00781 Apparatus for modifying intraocular pressure, e.g. for glaucoma treatment drainage implants in general A61M27/002

Abstract

A treatment of glaucoma by direct flow of the aqueous humor through a slit passage in the cornea to the tear film, while maintaining sterility of the anterior chamber. A stent device, supported by the cornea, provides the passage, with a filter element therein to prevent bacterial incursion within the eye and to regulate aqueous humor flow. The filter may be replaceable, if necessary, by vacuum removal. The invention includes an installation device for cutting the slit and a device for gaping open the slit and for guiding and locking the stent into proper placement.

Claims

1. A system for the insertion of a stent through the cornea of an eye, said system directly connecting an anterior chamber of the eye, having aqueous humor therein, to a tear film, for direct pressure relief from a glaucoma condition, said system comprising means for cutting a linear incision in the cornea, means for temporarily gaping open said linear incision, and a separate means for installing the stent within the linear incision while said incision is gaped open by the means for temporarily gaping open the linear incision, whereby when the stent is installed, the stent provides a passage for a direct connection between anterior chamber and the tear film through the cornea.

2. The system of claim 1, wherein the cutting means further comprises a collar whereby the incision is of a measured depth only sufficient to reach an interior surface of the cornea.

3. The system of claim 2, wherein the gaping means and installing means are integrated whereby gaping open of the incision with the gaping means aligns the stent for insertion within the gaped open incision.

4. The system of claim 3, wherein the gaping means comprise separated wing members extending in opposite directions, sized to fit within said incision adjacent walls of the incision, wherein rotation of the wing members effects the incision.

5. The system of claim 4, wherein a plunger is aligned in a space between the wing members, said plunger being adapted to engage an end of a stent placed in the space between the wing members whereby plunging activation of the plunger pushes the stent between the wing members into a position to connect the anterior chamber of the eye and the tear film.

6. A drainage stent for relief of excess pressure in an eye, resulting from a glaucoma condition, said stent being adapted to be placed through a cornea of the eye, in a transcorneal position, to directly connect an anterior chamber of the eye and a tear film on the outer surface of the cornea for direct fluid drainage from the anterior chamber and relief of excess pressure, said drainage stent comprising filtration means capable of preventing passage therethrough of bacteria, while permitting sufficient fluid drainage therethrough to relieve excess pressure, wherein the stent comprises a hollow tubular member having a pair of collar elements for respective engagement with an inner and outer surface of the cornea, and wherein the filter is positioned to block access of bacteria through the hollow tubular member.

7. The drainage stent of claim 6 wherein the filtration means comprises a microporous filter with a maximum pore size of 0.2 microns.

8. The drainage stent of claim 7, wherein the microporous filter is removable from the stent for replacement thereof.