Methods and devices to assist pulmonary decompression

• US 7,533,667 B2
• Filed: 05/20/2004
• Issued: 05/19/2009
• Est. Priority Date: 05/29/2003
• Status: Expired due to Fees

• Current Assignee: Portaero, Inc
• Original Assignee: Portaero, Inc
• Inventors: Tanaka, Don
• Primary Examiner(s): Yu; Justine R
• Assistant Examiner(s): MATTER, KRISTEN CLARETTE
• Application Number:
  US10/850,022
• Publication Number:
  US 20040237966A1
• Time in Patent Office: 1,825 Days
• Field of Search: 128/200.24, 128/200.26, 128/207.14, 128/207.15, 128/207.16, 128/207.29, 623/9, 623/23.65, 600/104, 604/506
• US Class Current: 128/200.24
• CPC Class Codes: A61M 16/10 Preparation of respiratory gases or vapours
• CPC Class Codes: A61M 16/101 using an oxygen concentrator
• CPC Class Codes: A61M 16/106 in a path
• CPC Class Codes: A61M 2039/0252 for access to the lungs
• CPC Class Codes: A61M 2039/0276 for introducing or removing fluids into or out of the body
• CPC Class Codes: A61M 2039/0297 at least part of it being inflatable, e.g. for anchoring, sealing or removing
• CPC Class Codes: A61M 2202/0007 introduced into the body
• CPC Class Codes: A61M 2202/0208 Oxygen
• CPC Class Codes: A61M 2202/03 Gases in liquid phase, e.g. cryogenic liquids
• CPC Class Codes: A61M 39/0247 Semi-permanent or permanent transcutaneous or percutaneous access sites to the inside of the body peritoneal dialysis catheters A61M1/285; tracheostomy devices A61M16/0465; measuring pressure within the body A61B5/03; colostomy devices A61F5/445; gastrotomy feeding tubes A61J15/0015; means for fixing a feeding tube outside of the body A61J15/0053

Abstract

A long term oxygen therapy system having an oxygen supply directly linked with a patient'"'"'s lung or lungs may be utilized to more efficiently treat hypoxia caused by chronic obstructive pulmonary disease such as emphysema and chronic bronchitis. The system includes an oxygen source, one or more valves and fluid carrying conduits. The fluid carrying conduits link the oxygen source to diseased sites within the patient'"'"'s lungs. A collateral ventilation bypass trap system directly linked with a patient'"'"'s lung or lungs may be utilized to increase the expiratory flow from the diseased lung or lungs, thereby treating another aspect of chronic obstructive pulmonary disease. The system includes a trap, a filter/one-way valve and an air carrying conduit. In various embodiments, the system may be intrathoracic, extrathoracic or a combination thereof. A pulmonary decompression device may also be utilized to remove trapped air in the lung or lungs, thereby reducing the volume of diseased lung tissue. In order for the system to be effective, an airtight seal between the parietal and visceral pleurae is required. Chemical pleurodesis is utilized for creating the seal.

Claims

1. A method for treating a lung of a patient through an artificial aperture through a chest wall of the patient, wherein the artificial aperture passes through the chest wall, through a parietal membrane and through a visceral membrane into alveolar tissue of the lung, and wherein the visceral membrane is sealed to the parietal membrane around the artificial aperture, where the artificial aperture passes through the parietal membrane and the visceral membrane, to prevent pneumothorax, wherein the method comprises:

positioning an internal section which includes a first end, a second end, and a channel extending from the second end to the first ends, through the artificial aperture into alveolar tissue of the lung outside of the bronchi of the patient, such that the air present in the alveolar tissue of the lung of the patient may pass into the channel;

securing a housing, which is connected to the first end of the internal section, to the outside of the chest of the patient; and

operating a power-operated ventilation device within the housing to promote flow of air from the alveolar tissue of the lung through the channel and expel the air outside of the patient.

2. The method of claim 1, wherein the power-operated ventilation device comprises a fan and the method comprises operating the fan to promote flow of air from the alveolar tissue of the lung through the channel.

3. The method of claim 1, wherein the power-operated ventilation device comprises a pump and the method comprises operating the pump to promote flow of air from the alveolar tissue of the lung through the channel.

4. The method of claim 1, wherein the power-operated ventilation device comprises a switching element and the method comprises operating the switching element to promote flow of air from the alveolar tissue of the lung through the channel.

5. The method of claim 1, further comprising using a portable power supply within the housing to operate the power-operated ventilation device.

6. The method of claim 1, further comprising detaching the housing from the internal section.

7. The method of claim 1, further comprising using a portable power generator to operate the power-operated ventilation device.

8. A method for treating a lung of a patient the method comprising:

(a) identifying an implantation location in a lung of the patient;

(b) introducing a first end of a device having a channel, through a chest wall of the patient and into alveolar tissue of the lung outside of the bronchi by inserting the first end of the device through a visceral membrane and through a parietal membrane, within a localized region where the visceral membrane is sealed to the parietal membrane, such that air within the alveolar tissue of the lung at the implantation location can enter the channel of the device; and

(c) coupling the channel to a power-operated decompression device located on the chest of the patient whereby the power-operated decompression device is configured to create a pressure differential to promote movement of air from the alveolar tissue of the lung through the channel.

9. The method of claim 8, wherein the power-operated decompression device comprises a fan or pump and step (c) comprises coupling the channel to the fan or pump to promote movement of air from the alveolar tissue of the lung through the channel.

10. The method of claim 8, wherein the power-operated decompression device comprises a switching element and step (c) comprises coupling the channel to the switching device to promote movement of air from the alveolar tissue of the lung through the channel.

11. The method of claim 8, wherein step (a) comprises:

(a1) scanning the lung of the patient to determine a location of a diseased tissue; and

(a2) identifying an implantation location in the lung of the patient based on the location of the diseased tissue.

12. The method of claim 8, wherein step (b) comprises using pleurodesis to create the localized region where the visceral membrane is sealed to the parietal membrane prior to introducing the first end of the device having a channel into the alveolar tissue of the lung outside of the bronchi.

13. The method of claim 8, wherein step (b) comprises using a biocompatible adhesive to create the localized region where the visceral membrane is sealed to the parietal membrane prior to introducing the first end of the device having a channel into the alveolar tissue of the lung outside of the bronchi.

14. The method of claim 8 wherein the power-operated decompression device is enclosed in a housing and wherein step (c) comprises coupling the channel to a power-operated decompression device in the housing outside the lung and securing the housing to the patient outside the lung.

15. A method which removes air from a lung of a patient through an artificial aperture in a chest of the patient, wherein a seal has been formed between a parietal membrane and visceral membrane in a localized region, and wherein the artificial aperture penetrates from outside the chest into the alveolar tissue of the lung through the parietal membrane and through the visceral membrane within the localized region, such that the parietal membrane is sealed to the visceral membrane around the artificial aperture to prevent pneumothorax, wherein the method comprises:

positioning a conduit through the artificial aperture in the chest of the patient into a lung, wherein the conduit includes a first end, a second end and a channel extending from the second end to the first end such that the air present in the alveolar tissue of the lung of the patient may pass into the channel;

securing an external housing coupled to the first end of the conduit to the chest of the patient; and

operating a power-operated device within the external housing to draw air from the alveolar tissue of the lung through the channel and expel the air external to the patient; and

using a portable power supply to provide power to the power-operated device.

16. The method of claim 15, wherein the power-operated apparatus comprises a fan and the method comprises operating the fan to draw air from the alveolar tissue of the lung through the channel and expel the air external to the patient.

17. The method of claim 15, wherein the power-operated apparatus comprises a pump and the method comprises operating the pump to draw air from the alveolar tissue of the lung through the channel and expel the air external to the patient.

18. The method of claim 15, wherein the power-operated apparatus comprises a switching element and the method comprises operating the switching element to draw air from the alveolar tissue of the lung through the channel and expel the air external to the patient.

19. The method of claim 15, wherein the portable power supply is positioned within the external housing.

20. The method of claim 15, wherein the external housing is detachable from the conduit and the method comprises detaching the external housing from the conduit.