Flow regulating implant, method of manufacture, and delivery device

• US 6,203,513 B1
• Filed: 11/20/1997
• Issued: 03/20/2001
• Est. Priority Date: 11/20/1997
• Status: Expired due to Term

• Current Assignee: Optonol, Ltd. (Alcon Incorporated)
• Original Assignee: Optonol, Ltd. (Alcon Incorporated)
• Inventors: Yaron, Ira, Yarden, Orit
• Primary Examiner(s): Weiss, John G.
• Assistant Examiner(s): Thissell, Jeremy
• Application Number:
  US08/975,386
• Time in Patent Office: 1,216 Days
• Field of Search: 604/93, 604/264, 604/8-10, 604/164, 604/30, 604/523
• US Class Current: 604/9
• 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
• CPC Class Codes: Y10T 29/49826 Assembling or joining
• CPC Class Codes: Y10T 29/49861 Sizing mating parts during final positional association

Abstract

An implant includes a tube for permitting fluid flow. A flow controlling rod may be inserted within the tube passage. One or more holes around the circumference of the tube may be selectively permanently or temporarily occluded to give desired flow characteristics. A delivery device for implanting the implant may include a central bore in which a retractable wire is located. The retractable wire penetrates a tube passage of the implant when the implant is attached to the delivery device. A hook on the delivery device prevents the implant from moving down the wire. After the implant is in position in the eye, the retention wire is retracted out of the implant. With the retention wire retracted, the implant is then free to slide away from the hook, allowing the delivery device to be withdrawn, leaving the implant in place. In a method for manufacturing an implant, two tubes of different diameters are utilized. The smaller tube fits inside the longitudinal bore of the larger tube. When the tubes are cut, the smaller tube forms the tube of the implant and the remaining portions of the larger tube form the retention projection and/or disk of the implant.

Claims

1. An implant for regulating fluid flow comprising:

(a) tube comprising an inlet end, an outlet end, and a tube passage having a length extending between the inlet end and the outlet end;

(b) a flow control structure located within the tube passage and extending over a selected portion of the lengh of the tub passage wherein, over said selected portion of the length of the tube passage, the flow control structure partially obstructs the tube passage, such that, at a given position along said selected portion of the length of the tube passage, the tube passage has a cross-sectional area that is greater than a cross-sectional area of the flow control structure, thereby creating constricted flow passage over said selected portion of the length of the tube passage;

(c) at least first and second inlet openings proximate the inlet end of the tube at least first and second inlet openings proximate the inlet end of the tube and leading into the tube passage, wherein said second inlet opening is located closer to the outlet end of the tube than the first inlet opening, such that the implant comprises at least (i) a longer first flow path wherein fluid flows into the implant through said first inlet opening and from said first inlet opening through the constricted flow passage to an outlet at the outlet end of said tube; and

(ii) a shorter second flow path wherein fulid flows into the implant through said second inlet opening and from siad second inlet opening through the constricted flow passage to an outlet at the oulet end of said tube; and

(d) means for selectively occuluding at least one of said first and second inlet openings to selectively prohibit or permit fluid flow through at least one of said first and second flow paths.

2. An implant according to claim 1 wherein said al least on inlet comprises at least one circumferential hole, wherein at least one circumferential hole is occluded, and wherein the occlusion of at least one of the circumferential holes is adapted to be temporary.

3. An implant according to claim 2 wherein the occlusion is caused by material in the hole which is adapted to be later removed.

4. An implant, according to claim 3 wherein the occlusion is caused by an absorbable material located in the hole.

5. An implant according to claim 3 wherein the occlusion is caused by a material located in the hole which is adapted to be later removed by one of a tool or laser.