Methods and apparatus for delivering ocular implants into the eye

• US 9,226,852 B2
• Filed: 04/21/2015
• Issued: 01/05/2016
• Est. Priority Date: 11/20/2007
• Status: Active Grant

• Current Assignee: Alcon Incorporated
• Original Assignee: Ivantis Inc. (Alcon Incorporated)
• Inventors: Schieber, Andrew T., Wardle, John, Matthees, Edward, Euteneuer, Charles L.
• Primary Examiner(s): MILES, JONATHAN WADE
• Application Number:
  US14/692,442
• Publication Number:
  US 20150223984A1
• Time in Patent Office: 259 Days
• US Class Current: 1/1
• CPC Class Codes: A61B 17/3417 Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating syringe needles A61M5/32; dilators A61M29/00
• CPC Class Codes: A61B 17/3468 for implanting or removing devices, e.g. prostheses, implants, seeds, wires devices for implanting seeds A61M37/0069
• CPC Class Codes: A61F 2/148 Implantation instruments specially adapted therefor
• CPC Class Codes: A61F 2/15 Implant having one or more holes, e.g. for nutrient transport, for facilitating handling
• CPC Class Codes: A61F 9/00781 Apparatus for modifying intraocular pressure, e.g. for glaucoma treatment drainage implants in general A61M27/002

Abstract

A method of deploying an ocular implant into Schlemm'"'"'s canal of a human eye including the following steps: inserting a distal tip of a delivery tool within an anterior chamber of the eye through trabecular meshwork of the eye into Schlemm'"'"'s canal of the eye; and advancing an ocular implant through a curved portion and a distal opening of the delivery tool to place a body portion of the ocular implant in Schlemm'"'"'s canal and an inlet portion of the ocular implant in the anterior chamber.

Claims

1. A cannula for an ocular implant delivery system comprising:

a tubular member comprising a straight proximal portion, a curved portion extending distally from the proximal portion, a distal tip and a distal opening surrounded by a distal opening surface extends solely proximally from the distal tip,

the distal tip being adapted to be inserted into an anterior chamber of a human subject'"'"'s eye, through trabecular meshwork and into Schlemm'"'"'s canal of the eye,

the proximal portion of the tubular member being adapted to extend from a location exterior to the eye when the distal tip is in Schlemm'"'"'s canal of the eye,

the cannula being further adapted to cooperate with an advancement mechanism to advance an ocular implant through the tubular member toward and through the distal opening into Schlemm'"'"'s canal of the eye when the distal tip is disposed in Schlemm'"'"'s canal,

the curved portion of the tubular member having a curve adapted to achieve substantially tangential entry of the ocular implant into Schlemm'"'"'s canal.

2. The cannula of claim 1 wherein the distal opening surface is disposed in a distal opening plane.

3. The cannula of claim 2 wherein the tubular member curved portion defines a curve plane, and the distal opening plane is at an angle other than 90 degrees with respect to the curve plane.

4. The cannula of claim 1 wherein the distal opening surface comprises a first section disposed in a distal opening plane disposed at a first section angle between 0 degrees and 90 degrees with respect to a longitudinal axis of the tubular member at the distal opening and a second section whose angle with respect to the longitudinal axis of the tubular member varies from an angle less than the first section angle at a distal limit of the second section to an angle greater than the first section angle at a proximal limit of the second section.

5. The cannula of claim 1 wherein the distal opening surface comprises an edge formed from a circumferential portion of a cylindrical envelope defined by the tubular member, the angular extent of the circumferential portion within the cylindrical envelope increasing from the distal tip proximally to a first point, the angular extent of the circumferential portion within the cylindrical envelope decreasing between the first point and a second point proximal to the first point, the angular extent of the circumferential portion within the cylindrical envelope increasing to 360 degrees between the second point and a third point proximal to the second point.

6. The cannula of claim 1 wherein an external diameter of the tubular member at a distal end of the tubular member is less than an external diameter of the tubular member proximal to the distal opening.