Lung constriction apparatus and method

• US 6,328,689 B1
• Filed: 03/23/2000
• Issued: 12/11/2001
• Est. Priority Date: 03/23/2000
• Status: Expired due to Term

• Current Assignee: Gyrus ACMI, Inc. (Olympus Corporation)
• Original Assignee: Spiration, Inc. (Olympus Corporation)
• Inventors: Sirokman, William A., Muff, Diane M., Gonzalez, Hugo X.
• Primary Examiner(s): Winakur, Eric F.
• Assistant Examiner(s): Veniaminov, Nikita R
• Application Number:
  US09/534,244
• Time in Patent Office: 628 Days
• Field of Search: 600/16, 600/37, 607/2, 128/898, 452/116, 601/153
• US Class Current: 600/37
• 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 17/12 for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord specially adapted for vas deferens or fallopian tubes A61F6/20; materials for ligaturing blood vessels A61L17/00
• CPC Class Codes: A61F 2/0063 Implantable repair or support meshes, e.g. hernia meshes

Abstract

A lung constriction device and method provide lung air leak suppression or lung volume reduction. The lung constriction device includes a jacket of flexible material. The jacket is configured to cover at least a portion of a lung. The jacket is further configured to receive the lung portion as it is drawn therein. The jacket may be expandable and held in an expanded condition as the lung tissue is drawn into the jacket. Thereafter, the jacket is permitted to collapse about the lung portion to constrict the lung portion. The jacket may alternatively be nonexpandable. As the lung tissue is drawn into the jacket, it will collapse. Once disposed in the jacket, the jacket constricts the lung tissue to provide leakage suppression or lung volume reduction. The jacket may further be severable so that after the lung portion is drawn into the jacket, the jacket may be severed to section the lung portion.

Claims

1. A lung constriction device comprising a jacket of flexible material configured to cover only a portion of a lung, the jacket having a pair of opened ends to permit the lung portion to be drawn into the jacket and the jacket being dimensioned to constrict and collapse the lung portion.

2. The device of claim 1 wherein the jacket is formed of elastic material.

3. The device of claim 1 wherein the jacket is formed of a mesh material.

4. The device of claim 1 wherein the jacket is formed of one of silicone rubber, polyester, polyurethane, nylon, polytetraflouroethylene, expanded polytetraflouroethylene, polyester and polyurethane, and nylon and polyurethane.

5. The device of claim 1 wherein the jacket is formed of an expandable mesh material.

6. The device of claim 1 wherein the jacket is formed of a severable material to permit the device to be severed intermediate its ends.

7. A lung constriction device comprising a member formed of expandable material, the member being configured for receiving only a portion of a lung when forced into an expanded enlarged condition by an expansion force, and contractible about the lung portion upon release of the expansion force for constricting and collapsing the lung portion.

8. The device of claim 7 wherein the member has a hollow, substantially cylindrical configuration when in a nonexpanded condition.

9. The device of claim 7 wherein the member includes a first opened end for receiving the lung portion.

10. The device of claim 9 wherein the member includes a second opened end for permitting the lung portion to extend through the member.

11. The device of claim 7 wherein the member is formed of one of silicone rubber, polyurethane, expanded polytetraflouroethylene, nylon and polyurethane, and polyester and polyurethane.

12. The device of claim 7 wherein the member is formed of an expandable mesh material.

13. The device of claim 7 wherein the member is formed of a severable material.

14. A method of constricting and collapsing only a portion of a lung, the method including the steps of:

providing a jacket formed of flexible material and configured to cover only a portion of the lung; and

drawing the lung portion into the jacket to constrict and collapse the lung portion.

15. The method of claim 14 wherein the jacket is dimensioned to constrict the lung portion and wherein the drawing step includes collapsing the lung portion while drawing the lung portion into the jacket.

16. The method of claim 15 wherein the drawing step includes physically pulling the lung portion into the jacket.

17. The method of claim 14 wherein the jacket is formed of expandable material and wherein the method includes the further steps of applying an expansion force to the jacket to enlarge the jacket dimensions and releasing the expansion force on the jacket after the drawing step to permit the jacket to collapse about the lung portion for constricting the lung portion.

18. The method of claim 17 wherein the drawing step includes physically pulling the lung portion.

19. The method of claim 14 including the further step of severing the jacket after drawing the lung portion into the jacket to section the lung portion.

20. A method of constricting at least a portion of a lung, the method including the steps of:

providing a jacket formed of flexible material and configured to cover the lung portion;

drawing the lung portion into the jacket; and

positioning the jacket on a mandrel, wherein the lung portion is physically pulled into the mandrel, and the method further including the step of removing the mandrel from the jacket and the lung portion to leave the lung portion constricted in the jacket.

21. A method of constricting at least a portion of a lung, the method including the steps of:

providing a jacket formed of flexible material and configured to cover the lung portion; and

drawing the lung portion into the jacket, wherein the jacket is dimensioned to constrict the lung portion, wherein the drawing step includes collapsing the lung portion while drawing the lung portion into the jacket, and wherein the drawing step includes applying a vacuum suction to the lung portion.

22. The method of claim 21 further including the step of positioning the jacket on a mandrel, wherein the vacuum suction is applied to the lung portion through the mandrel, and the method further including the step of removing the mandrel from the jacket and the lung portion to leave the lung portion constricted in the jacket.

23. The method of claim 21 further including the step of positioning the jacket within a mandrel, wherein the vacuum suction is applied to the lung portion through the mandrel and the jacket to pull the lung portion directly into the jacket, and the method further including the step of removing the mandrel from the jacket.

24. A method of constricting at least a portion of a lung, the method including the steps of:

providing a jacket formed of flexible material and configured to cover the lung portion; and

drawing the lung portion into the jacket, wherein the jacket is formed of expandable material, wherein the method includes the further steps of applying an expansion force to the jacket to enlarge the jacket dimensions and releasing the expansion force on the jacket after the drawing step to permit the jacket to collapse about the lung portion for constricting the lung portion, and wherein the applying step includes positioning the jacket on a mandrel.

25. The method of claim 24 wherein the applying step further includes expanding the mandrel after positioning the jacket on the mandrel.

26. The method of claim 24 wherein the drawing step includes applying a vacuum suction to the lung portion through the mandrel to draw the lung portion into the mandrel and wherein the releasing step includes removing the jacket from the mandrel.

27. The method of claim 26 wherein the releasing step further includes terminating the vacuum suction prior to removing the jacket from the mandrel.

28. A method of constricting at least a portion of a lung, the method including the steps of:

providing a jacket formed of flexible material and configured to cover the lung portion; and

drawing the lung portion into the jacket, wherein the jacket is formed of expandable material, wherein the method includes the further steps of applying an expansion force to the jacket to enlarge the jacket dimensions and releasing the expansion force on the jacket after the drawing step to permit the jacket to collapse about the lung portion for constricting the lung portion, and wherein the drawing step includes applying a vacuum suction to the lung portion.

29. A method of constricting at least a portion of a lung, the method including the steps of:

providing a jacket formed of flexible material and configured to cover the lung portion; and

drawing the lung portion into the jacket, wherein the jacket is formed of expandable material, wherein the method includes the further steps of applying an expansion force to the jacket to enlarge the jacket dimensions and releasing the expansion force on the jacket after the drawing step to permit the jacket to collapse about the lung portion for constricting the lung portion, and wherein the method further includes the steps of positioning the jacket within a mandrel, and applying a vacuum suction to the lung portion through the mandrel and the jacket to cause the lung portion to be drawn into the jacket and the jacket to be expanded by the lung portion drawn by the vacuum suction.

30. The method of claim 29 wherein the releasing step includes terminating the vacuum suction.

31. A method of reducing the size of a lung, the method including the steps of:

providing a jacket of severable material configured and dimensioned to constrict and seal lung tissue;

drawing a portion of the lung into the jacket to constrict and seal lung tissue of the lung portion; and

severing the jacket to section the lung.

32. The method of claim 31 wherein the jacket includes a pair of opened ends and wherein the drawing step includes drawing the lung portion through the jacket.

33. A method of sectioning body tissue, the method including the steps of:

providing a jacket of severable material configured and dimensioned to constrict and seal the body tissue;

drawing the body tissue into the jacket to constrict and seal the body tissue; and

severing the jacket to section the body tissue.

34. The method of claim 33 wherein the jacket includes a pair of opened ends and wherein the drawing step includes drawing the body tissue through the jacket.

35. A system for sectioning body tissue, the system comprising:

a jacket of severable material configured and dimensioned to constrict and seal the body tissue;

means for drawing the body tissue into the jacket to constrict and seal the body tissue; and

means for severing the jacket to section the body tissue.

36. The system of claim 35 wherein the jacket is formed of an elastic material.

37. A device for use in sectioning body tissue comprising a jacket of severable material configured to cover the body tissue, the jacket having a pair of opened ends to permit the body tissue to be drawn into the jacket and the jacket being dimensioned to constrict and seal the body tissue.

38. The device of claim 37 wherein the jacket is formed of elastic material for collapsing about the body tissue.

39. A lung constriction device comprising a jacket of flexible material configured to cover only a portion of a lung, the jacket having a pair of opened ends to permit the lung portion to be drawn into the jacket and the jacket being dimensioned to constrict, collapse, and disable the lung portion.

40. A lung constriction device comprising a member formed of expandable material, the member being configured for receiving only a portion of a lung when forced into an expanded enlarged condition by an expansion force, and contractible about the lung portion upon release of the expansion force for constricting, collapsing, and disabling the lung portion.

41. A method of constricting, collapsing, and disabling a portion of a lung, the method including the steps of:

providing a jacket formed of flexible material and configured to cover the lung portion; and

drawing the lung portion into the jacket to constrict, collapse, and disable the lung portion.