Flow control device, introducer and method of implanting

• US 6,726,664 B2
• Filed: 08/06/2001
• Issued: 04/27/2004
• Est. Priority Date: 06/02/1999
• 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): KENNEDY, SHARON E
• Application Number:
  US09/921,585
• Publication Number:
  US 20030208163A1
• Time in Patent Office: 995 Days
• Field of Search: 604/93, 604/264, 604/265, 604/8-10, 604/30, 623/1.38, 424/422, 424/426, 424/428, 424/444, 424/427
• US Class Current: 604/265
• CPC Class Codes: A61F 2210/0004 bioabsorbable
• CPC Class Codes: A61F 2250/0069 Sealing means
• CPC Class Codes: A61F 9/00781 Apparatus for modifying intraocular pressure, e.g. for glaucoma treatment drainage implants in general A61M27/002

Abstract

An implant having a tube for permitting fluid flow has an outer flange at the outlet end and a retention projection near the inlet end. A delivery device for implanting the implant has a central bore for accommodating the implant during the implantation procedure. When the implant is loaded in the delivery device, the retention projection of the implant protrudes beyond the outside surface of the delivery device. After the delivery device and implant have penetrated the tissue through which drainage is desired, and the retention projection has fully penetrated through the tissue, the delivery device is withdrawn. The retention projection acts as a hook engaging the inside surface of the tissue, causing the implant to stay implanted in the tissue. An implant may also be provided with a mechanism for temporary occlusion, in whole or in part, of the flow passage. Thus, the tube passage may be filled, partially or wholly, with absorbable material and/or a plurality of withdrawable or advanceable flow controlling strands.

Claims

1. An implant for regulating fluid flow from an area on one side of a barrier tissue to an area on an opposite side of the barrier tissue in combination with a delivery device for implanting the implant;

wherein the implant comprises;

a tube comprising an inlet end, an outlet end, and a tube passage extending between the inlet end and the outlet end for permitting fluid to flow through the tube passage;

an outer flange located proximate the outlet end of the implant and a retention projection located proximate the inlet end of the implant, so that the implant engages the barrier tissue with the outer flange on an outlet side of the barrier tissue and the retention projection on an inlet side of the barrier tissue; and

absorbable material located within the tube passage, wherein initially the absorbable material serves to partially or wholly obstruct flow through the tube passage and wherein the absorbable material erodes as it contacts fluid such that the obstruction of flow through the tube passage is reduced over time; and

wherein the delivery device includes means for preventing rotation of the implant with respect to the delivery device.

2. An implant in combination with a delivery device according to claim 1, wherein initially the absorbable material substantially fills the tube passage so as to prevent flow through the tube passage.

3. An implant in combination with a delivery device according to claim 1, wherein initially the absorbable material partially fills the tube passage so as to allow partial flow through the tube passage.

4. An implant for regulating fluid flow from an area on one side of a barrier tissue to an area on an opposite side of the barrier tissue in combination with a delivery device for implanting the implant;

wherein the implant comprises;

a tube comprising an inlet end, an outlet end, and a tube passage extending between the inlet end and the outlet end for permitting fluid to flow through the tube passage;

an outer flange located proximate the outlet end of the implant and a retention projection located proximate the inlet end of the implant, so that the implant engages the barrier tissue with the outer flange on an outlet side of the barrier tissue and the retention projection on an inlet side of the barrier tissue; and

one or more flow controlling strands located within the tube passage, wherein initially the one or more flow controlling strands serve to partially or wholly obstruct flow through the tube passage and wherein at least one flow controlling strand may be displaced with respect to the tube passage to change the obstruction of flow through the tube passage; and

wherein the delivery device includes means for preventing rotation of the implant with respect to the delivery device.

5. An implant in combination with a delivery device according to claim 4, wherein initially the one or more flow controlling strands substantially fill the tube passage so as to prevent flow through the tube passage.

6. An implant in combination with a delivery device according to claim 4, wherein initially the one or more flow controlling strands partially fill the tube passage so as to allow partial flow through the tube passage.

7. An implant in combination with a delivery device according to claim 4 further comprising a plug attached to one or more of said flow controlling strands.

8. An implant in combination with a delivery device according to claim 4 wherein one or more of said flow controlling strands has a knot in it.

9. An implant in combination with a delivery device according to claim 4, wherein at least one flow controlling strand may be withdrawn from the tube passage to reduce the obstruction of flow through the tube passage.

10. An implant in combination with a delivery device according to claim 9, wherein at least one flow controlling strand may be completely withdrawn from the tube passage to reduce the obstruction of flow through the tube passage.

11. An implant in combination with a delivery device according to claim 9, wherein at least one flow controlling strand may be partially withdrawn from the tube passage to reduce the obstruction of flow through the tube passage.

12. An implant in combination with a delivery device according to claim 4, wherein at least one flow controlling strand may be advanced within the tube passage to increase the obstruction of flow through the tube passage.

13. An implant in combination with a delivery device according to claim 4 comprising at least two strands.

14. An implant in combination with a delivery device according to claim 13, wherein two of the strands have different cross-sectional dimensions.

15. An implant in combination with a delivery device according to claim 13, wherein each of at least two strands has a plug attached to it, with the plugs on the at least two strands having different cross-sectional dimensions.

16. An implant in combination with a delivery device according to claim 13, wherein each of at least two strands has a knot in it, with the knots in the at least two strands having different dimensions.

17. An implant in combination with a delivery device according to claim 4 wherein at least one flow controlling strand has different areas along its length with different cross-sectional dimensions.

18. An implant in combination with a delivery device according to claim 4 wherein at least one flow controlling strand is made of absorbable material.

19. An implant for regulating fluid flow from an area on one side of a barrier tissue to an area on an opposite side of the barrier tissue in combination with a delivery device for implanting the implant;

wherein the implant comprises;

a tube comprising an inlet end, an outlet end, and a tube passage extending between the inlet end and the outlet end for permitting fluid to flow through the tube passage;

an outer flange located proximate the outlet end of the implant and a retention projection located proximate the inlet end of the implant, so that the implant engages the barrier tissue with the outer flange on an outlet side of the barrier tissue and the retention projection on an inlet side of the barrier tissue; and

means for temporarily obstructing, in whole or in part, fluid flow through the tube passage, wherein said means for temporarily obstructing fluid flow is adapted to remain. in whole or in part, within said tube passage for at least some period of time after the implant is implanted and the delivery device is withdrawn; and

wherein the delivery device includes means for preventing rotation of the implant with respect to the delivery device.

20. An implant in combination with a delivery device according to claim 19 wherein the means for temporarily obstructing, in whole or in part, fluid flow through the tube passage comprises absorbable material located in the tube passage.

21. An implant in combination with a delivery device according to claim 19 wherein the means for temporarily obstructing, in whole or in part, fluid flow through the tube passage comprises at least one flow controlling strand located in the tube passage.