Articulable anchor

• US 8,454,708 B2
• Filed: 04/05/2010
• Issued: 06/04/2013
• Est. Priority Date: 03/31/2006
• Status: Active Grant

• Current Assignee: Gyrus ACMI, Inc. (Olympus Corporation)
• Original Assignee: Spiration, Inc. (Olympus Corporation)
• Inventors: Kutsko, James, Yi, Seung, Finger, Clinton Lee
• Primary Examiner(s): GHERBI, SUZETTE JAIME J
• Application Number:
  US12/754,394
• Publication Number:
  US 20100262071A1
• Time in Patent Office: 1,156 Days
• Field of Search: 623/9, 623 2364- 2365, 604/892.1
• US Class Current: 623/23.65
• CPC Class Codes: A61B 17/12022 Occluding by internal devices, e.g. balloons or releasable wires plugging an opening in the wall of an organ A61B17/0057; occluders for the cervical canal A61F6/146; vas deferens occluders A61F6/20
• CPC Class Codes: A61B 17/12104 in an air passage
• CPC Class Codes: A61B 17/12172 having a pre-set deployed three-dimensional shape methods of manufacturing A61B2017/00526
• CPC Class Codes: A61F 2/04 Hollow or tubular parts of organs, e.g. bladders, tracheae, bronchi or bile ducts A61F2/18, A61F2/20 take precedence; devices, other than stent-grafts, providing patency to, or preventing collapsing of, tubular structures of the body other than stent-grafts, e.g. stents A61F2/82; instruments specially adapted for placement or removal of stents or stent-grafts A61F2/95
• CPC Class Codes: A61F 2/24 Heart valves ; Vascular valves, e.g. venous valves; Heart implants, e.g. passive devices for improving the function of the native valve or the heart muscle; Transmyocardial revascularisation [TMR] devices; Valves implantable in the body
• CPC Class Codes: A61F 2/2476 Valves implantable in the body not otherwise provided for
• CPC Class Codes: A61F 2002/043 Bronchi
• CPC Class Codes: A61F 2002/828 Means for connecting a plurality of stents allowing flexibility of the whole structure
• CPC Class Codes: A61F 2220/0016 with sharp anchoring protrusions, e.g. barbs, pins, spikes
• CPC Class Codes: A61F 2220/0091 connected by a hinged linkage mechanism, e.g. of the single-bar or multi-bar linkage type
• CPC Class Codes: A61F 2230/0006 circular
• CPC Class Codes: A61F 2310/00011 Metals or alloys

Abstract

An implantable device for providing one-way flow of air through a lumen in a human lung to reduce the volume of air trapped in a diseased portion of the lung by occluding the lumen to prevent inhalation while permitting expiration out of the diseased portion. The implantable device is deployable in the lumen with a catheter. The device comprises an umbrella-shaped, one-way valve. The valve is collapsible for containment within a catheter and expandable in situ when deployed to occlude the lumen. The valve defines a longitudinal axis and comprises a plurality of metal struts, a resilient membrane, and a central post. The device further comprises an anchor for securing the implantable device within the lumen. The anchor comprises a tapered distal end for penetrating the wall of the lumen, and a planar member positioned to limit advancement of the anchor into the lumen. The implantable device further comprises a mechanism connecting the one-way valve to the anchor. The mechanism is disposed along the longitudinal axis when the device is collapsed. The mechanism is configured to permit the valve to be oriented at an angle to said anchor when deployed. Accordingly, the anchor can be positioned in a section of the lumen that is at an angle to a section of said lumen in which said one-way valve is positioned.

Claims

1. A method of inserting an occluding device into an air passageway of a lung comprising:

accessing a non-linear air passageway with a catheter;

inserting the occluding device into a lumen of the catheter, wherein the occluding device comprises a longitudinal axis and an articulable anchor for securing the occluding device within the non-linear air passageway in a manner that permits the articulable anchor to articulate substantially with respect to said occluding device such that the occluding device and the articulable anchor are non-collinear along the longitudinal axis of the occluding device; and

deploying the occluding device within the non-linear air passageway.

2. The method of inserting an occluding device into an air passageway as in claim 1, wherein the articulable anchor comprises a plurality of resilient arms.

3. The method of inserting an occluding device into an air passageway as in claim 2, wherein the plurality of resilient arms comprises tapered distal ends to permit the resilient arms to penetrate walls of the air passageway.

4. The method of inserting an occluding device into an air passageway as in claim 1, wherein the occluding device comprises a plurality of struts having a first end that curves inward towards a longitudinal axis the occluding device and a second end that attaches to a junction of the second ends of the plurality of struts.

5. The method of inserting an occluding device into an air passageway as in claim 4, the occluding device further comprising a resilient membrane attached to the plurality of struts, wherein at least a portion of the resilient membrane wraps around the first end and curves inward towards the longitudinal access.

6. The method of inserting an occluding device into an air passageway as in claim 1, wherein the occluding device is a one-way valve.

7. The method of inserting an occluding device into an air passageway as in claim 6, wherein the one-way valve is configured to prevent inhalation air flow while allowing exhalation air flow.

8. The method of inserting an occluding device into an air passageway as in claim 1, further comprising engaging an elongate member to retract and re-deploy the occluding device within the non-linear passageway, wherein the elongate member is coupled to the occluding device.

9. The method of inserting an occluding device into an air passageway as in claim 1, wherein the occluding device comprises a substantially umbrella-shaped configuration.

10. The method of inserting an occluding device into an air passageway as in claim 1, wherein the deploying further comprises deploying the occluding device within the non-linear air passageway without substantially altering a natural geometry of the air passageway.

11. An implantable device for deployment in an air passageway, the device comprising:

an occluding device comprising a first longitudinal axis, and

an anchor for securing the occluding device within the air passageway, the anchor comprising a second longitudinal axis,

wherein the occluding device comprises a plurality of struts having a first end that curves inward towards a longitudinal axis of the occluding device and a second end that attaches to a junction of the second ends of the plurality of struts, wherein the plurality of struts bias the occluding device against the wall of the air passageway, and wherein the anchor is an articulable anchor for securing the occluding device within the air passageway in a manner that permits the anchor to articulate substantially with respect to said occluding device, the occluding device and the anchor being coupled to allow the first axis and the second axis to be non-collinear.

12. The implantable device of claim 11, the occluding device further comprising a resilient membrane attached to the plurality of struts, wherein at least a portion of the resilient membrane wraps around the first end and curves inward towards the longitudinal access.

13. The implantable device of claim 11, wherein the articulable anchor comprises a plurality of resilient arms.

14. The implantable device of claim 13, wherein the plurality of resilient arms comprises tapered distal ends to permit the resilient arms to penetrate walls of the air passageway.

15. The implantable device of claim 11, wherein the air passageway is a non-linear air passageway.

16. The implantable device of claim 15, further comprising an elongate member coupled to the occluding device, wherein the elongate member is configured to be engaged by a catheter to retract and re-deploy the occluding device within the non-linear passageway.

17. The implantable device of claim 11, wherein the occluding device is a one-way valve.

18. The implantable device of claim 17, wherein the one-way valve is configured to prevent inhalation air flow while allowing exhalation air flow.

19. The implantable device of claim 11, wherein the occluding device comprises a substantially umbrella-shaped configuration.

20. The implantable device of claim 11, wherein the plurality of struts comprise one or more pairs of adjacent struts with a membrane extending therebetween to define a pathway.