Stent device and method for treating glaucoma

• US 20030069637A1
• Filed: 10/11/2002
• Published: 04/10/2003
• Est. Priority Date: 04/26/1999
• Status: Active Grant

• Current Assignee: Glaukos Corporation
• Original Assignee: Mary G. Lynch, Reay H. Brown
• Inventors: Brown, Reay H., Lynch, Mary G.
• Granted Patent: US 6,783,544 B2
• Time in Patent Office: Days
• US Class Current: 623/4.1
• CPC Class Codes: A61F 2230/0008 elliptical or oval
• CPC Class Codes: A61F 2230/0052 T-shaped
• CPC Class Codes: A61F 2250/0067 Means for introducing or releasing pharmaceutical products into the body
• CPC Class Codes: A61F 9/0017 implantable in, or in contact with, the eye, e.g. ocular inserts
• CPC Class Codes: A61F 9/00781 Apparatus for modifying intraocular pressure, e.g. for glaucoma treatment drainage implants in general A61M27/002
• CPC Class Codes: A61M 2210/0612 Eyes
• CPC Class Codes: A61M 25/0068 Static characteristics of the catheter tip, e.g. shape, atraumatic tip, curved tip or tip structure
• CPC Class Codes: A61M 25/007 Side holes, e.g. their profiles or arrangements; Provisions to keep side holes unblocked
• CPC Class Codes: A61M 25/0074 Dynamic characteristics of the catheter tip, e.g. openable, closable, expandable or deformable

Abstract

Stent devices and a method for continuously facilitating the flow of aqueous humor through Schlemm'"'"'s canal where post-operative patency can be maintained with an indwelling stent device. The stent devices provide uni- or bi-directional flow of aqueous humor within and through Schlemm'"'"'s canal.

Claims

1. A stent device to expand and maintain the patency of Schlemm'"'"'s canal in the eye, the stent device comprising a body portion shaped to be wholly received within a portion of Schlemm'"'"'s canal, wherein said stent device improves fluid communication between the anterior chamber and Schlemm'"'"'s canal.

2. The stent device of claim 1, wherein the body portion of the stent has a curve having a radius which approximates the radius of Schlemm'"'"'s canal of a human eye.

3. The stent device of claim 2, wherein said curve has a radius of between about 3 mm and 10 mm.

4. The stent device of claim 2, wherein said curve has a radius of about 6 mm.

5. The surgical device of claim 1, wherein said body portion is at least partially luminal having an outer diameter of about 0.1 mm to 0.5 mm.

6. The stent device of claim 1, wherein said body portion is at least partially luminal having an outer diameter of about 0.3 mm.

7. The stent device of claim 1, wherein said body portion has a length of about 1 mm to 40 mm.

8. The stent device of claim 1, wherein said body portion has a length of about 20 mm.

9. The stent device of claim 1, where the body portion of the stent has a plurality of fenestrations therein that allow the passage of fluid into Schlemm'"'"'s canal.

10. The stent device of claim 1, wherein the body is curved to define a trough-like, partially open channel along at least some of the length of said body open toward the collecting channels of the eye.

22. A method for the surgical treatment of glaucoma, comprising, performing a trabeculotomy through a conjunctival flap made at the limbus;

developing a partial thickness scleral flap;

radially incising the junction between the angle tissue and the sclera, which is surgically extended until Schlemm'"'"'s canal is entered posteriorly, and placing one or more of the stent devices of claim 1 within Schlemm'"'"'s canal.

11. A stent device for use in the eye to relieve excess intraocular pressure by facilitating drainage through and within Schlemm'"'"'s canal, comprising:

a thin body of biocompatible material of a length and shape adapted to be wholly retained within a portion of Schlemm'"'"'s canal and having a channel therein to facilitate the passage of aqueous humor therealong.

12. The stent device of claim 11, wherein the body portion provides for drainage in both directions along Schlemm'"'"'s canal.

13. The stent device of claim 11, wherein the body portion of the stent has a curve having a radius which approximates the radius of Schlemm'"'"'s canal of a human eye.

14. The stent device of claim 13, wherein said curve has a radius of between about 3 mm and 10 mm.

15. The stent device of claim 14, wherein said curve has a radius of about 6 mm.

16. The stent device of claim 11, wherein said body portion has an outer diameter of about 0.1 mm to 0.5 mm.

17. The stent device of claim 11, wherein said body portion has an outer diameter of about 0.3 mm.

18. The stent device of claim 11, wherein said body portion has a length of about 1 mm to 40 mm.

19. The stent device of claim 11, wherein said body portion has a length of about 20 mm.

20. The stent device of claim 11, where the body portion of the stent has a plurality of fenestrations therein that allow the passage of fluid into Schlemm'"'"'s canal.

21. The stent device of claim 11, wherein the body is curved to define a trough-like, partially open channel along at least some of the length of said body open toward the collecting channels.

23. A method for the surgical treatment of glaucoma, comprising, performing a trabeculotomy through a conjunctival flap made at the limbus;

developing a partial thickness scleral flap;

radially incising the junction between the angle tissue and the sclera, which is surgically extended until Schlemm'"'"'s canal is entered posteriorly, and placing one or more of the stent devices of claim 11 within Schlemm'"'"'s canal.