Articulable anchor

• US 8,647,392 B2
• Filed: 04/26/2012
• Issued: 02/11/2014
• 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:
  US13/457,346
• Publication Number:
  US 20120209308A1
• Time in Patent Office: 656 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

Embodiments disclosed herein relate to devices implantable into a human lung, for example to reduce the volume of air trapped in a diseased portion of the lung to prevent inhalation while permitting expiration out of the diseased portion. In some embodiments, the device comprises a distal portion with an anchor system that may anchor the device into tissue of an air passageway wall, and the distal portion may be connected to a proximal portion via a flexible portion that permits the distal portion to articulate substantially with respect to the proximal portion, such that the distal portion and the proximal portion may be non-collinear along a longitudinal axis of the distal portion. This may facilitate implantation of the device into a non-linear air passageway.

Claims

1. An implantable device configured to be secured within an air passageway, the device comprising:

a distal portion comprising an anchor system and a longitudinal axis, the anchor system comprising at least one piercing tip and being configured to engage tissue of an air passageway wall;

a proximal portion; and

a flexible portion connecting the distal portion to the proximal portion, the flexible portion being configured such that the distal portion can articulate substantially with respect to the proximal portion such that the distal portion and the proximal portion are non-collinear along the longitudinal axis of the distal portion.

2. The device of claim 1, wherein the proximal portion has a larger diameter than the distal portion.

3. The device of claim 1, wherein the distal portion, the proximal portion, and the flexible portion are all formed in a single piece.

4. The device of claim 1, wherein the at least one piercing tip comprises a planar member configured to limit advancement of the at least one piercing tip into the tissue of the air passageway wall.

5. The device of claim 1, wherein the at least one piercing tip is atraumatic.

6. The device of claim 1, wherein the anchor system comprises a plurality of piercing tips extending radially outward relative to the longitudinal axis of the distal portion.

7. The device of claim 1, wherein the flexible portion is hollow.

8. The device of claim 1, wherein the flexible portion comprises a rigid rod portion.

9. The device of claim 8, wherein the rigid rod portion extends through an axial center of a helical spring.

10. The device of claim 1, wherein the flexible portion comprises a tube or cylindrical member having one or more slots.

11. The device of claim 1, wherein the flexible portion comprises a spring member extending in a longitudinal axial direction.

12. The device of claim 1, wherein the flexible portion comprises a flexible mesh.

13. The device of claim 1, wherein the proximal portion comprises a frame member.

14. The device of claim 13, wherein the frame member comprises one or more struts.

15. The device of claim 13, further comprising a membrane portion disposed over at least a portion of the frame member.

16. The device of claim 1, wherein the device is collapsible for containment within a delivery catheter.

17. The device of claim 1 further comprising an elongate member with a proximal end and a distal end, the elongate member being attached at its distal end to the proximal portion or the distal portion.

18. The device of claim 17, wherein the elongate member is configured to be engaged by a removal tool for repositioning or removal of the device.

19. The device of claim 17, wherein the elongate member comprises a knob at its proximal end.

20. A system for inserting a pulmonary device into an air passageway of a lung, the system comprising:

a catheter; and

a pulmonary device configured to be inserted into a distal end of the catheter, the pulmonary device comprising;

a proximal portion;

a distal portion comprising a longitudinal axis and at least one anchor configured to secure the pulmonary device within the air passageway, and

a connecting member coupling the proximal portion and the distal portion and allowing the longitudinal axis of the distal portion to be non-collinear with the proximal portion.

21. The system of claim 20, wherein the proximal portion comprises a frame member.

22. The system of claim 21, wherein the frame member comprises a plurality of struts.

23. The system of claim 22, wherein the plurality of struts extend in a longitudinal direction and form a bell or umbrella shape, and wherein the plurality of struts are connected to each other at a first distal end.

24. The system of claim 23, wherein the plurality of struts have a second proximal end curving inward toward the longitudinal axis.

25. The system of claim 21, wherein a membrane covers at least a portion of the frame member.

26. The system of claim 20, wherein the proximal portion comprises a proximal rod extending along a longitudinal axis of the proximal portion.

27. The system of claim 26, further comprising a removal tool configured to engage the proximal rod.

28. The system of claim 20, wherein the pulmonary device is in an at least partly collapsed configuration when inserted into the distal end of the catheter.

29. The system of claim 20, wherein the connecting member comprises a tube or cylindrical member with one or more slots.

30. The system of claim 20, wherein the connecting member comprises a spring.

31. The system of claim 20, wherein the connecting member comprises a mesh.

32. The system of claim 20, wherein the connecting member comprises a rigid rod connected to one or more pivot points or flexible portions.

33. The system of claim 32, wherein the pivot point or flexible portion comprises at least one ball and socket assembly.

34. The system of claim 32 further comprising a spring member arranged along an axis of the rigid rod.