Methods of achieving lung volume reduction with removable anchored devices

• US 7,434,578 B2
• Filed: 12/22/2003
• Issued: 10/14/2008
• Est. Priority Date: 05/17/2002
• Status: Active Grant

• Current Assignee: Gyrus ACMI, Inc. (Olympus Corporation)
• Original Assignee: Spiration, Inc. (Olympus Corporation)
• Inventors: Park, Mia, Yi, Seung, Rimbaugh, Jenni, DeVore, Lauri J., Corcoran, Dean T., Dillard, David H., Gonzalez, Hugo X.
• Primary Examiner(s): Hayes; Michael J.
• Assistant Examiner(s): NGUYEN, VI X
• Application Number:
  US10/744,577
• Publication Number:
  US 20040167636A1
• Time in Patent Office: 1,758 Days
• Field of Search: 606/158, 606/192, 604/329, 604/509, 604/516, 128/207.14
• US Class Current: 128/200.24
• 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: A61B 2017/00809 Lung operations
• CPC Class Codes: A61F 2/2476 Valves implantable in the body not otherwise provided for
• CPC Class Codes: A61F 2002/043 Bronchi

Abstract

A method of reducing the size of a lung by collapsing a target section of the lung includes delivering within a lung air passageway leading to the target section an intra-bronchial device. The device is deployed in a desired location and then the device is removed from the desired location. The device can be removed by gripping a portion of the device with a retractor device, which is used to draw the device proximally. Proximal movement releases anchors of the device from the passageway and the anchors can be collapsed into a removal configuration.

Claims

1. A method of reducing the size of a lung by collapsing a target section of the lung, the method including the steps of:

delivering within a lung air passageway leading to the target section an intra-bronchial valve device having an obstructing member supported on a support structure, the obstructing member being configured to preclude air from being inhaled into the target section, while allowing air to be exhaled from the target section, the valve device further comprising at least one anchor member carried by the support structure;

deploying the valve device at a desired location within the air passageway so as to cause the at least one anchor member to move from a delivered state in which the anchor member is spaced from an air passageway wall to an anchored state in which the anchor engages the wall; and

releasing the at least one anchor from engagement with the air passageway wall and removing the valve device from the desired location by engaging an anchor base aperture portion of an anchor base.

2. The method of claim 1, wherein deploying the valve device comprises removing a restraint configured to hold the anchor members in said delivered state.

3. The method of claim 1, wherein removing the valve device proximally causes the anchors to release the air passageway walls.

4. The method of claim 1, wherein the at least one anchor is folded away from the obstructing member.

5. The method of claim 1, wherein the at least one anchor is folded toward the obstructing member.

6. The method of claim 1, wherein the anchor base aperture is engaged by a hooked device.

7. The method of claim 1, wherein the anchor base aperture portion of the valve device is engaged by a forceps.

8. The method of claim 1, wherein the anchor base aperture portion of the valve device is engaged by a retractor device.

9. The method of claim 1 further comprising moving a catheter distally over a portion of the at least one anchor to release the at least one anchor from engagement with the air passage wall.

10. A method of reducing the size of a lung by collapsing a target section of the lung, the method including the steps of:

delivering within a lung air passageway leading to the target section an intra-bronchial valve device having an obstructing member supported on a support structure, the obstructing member being configured to preclude air from being inhaled into the target section, while allowing air to be exhaled from the target section, the valve device further comprising at least one proximal anchor member and at least one distal anchor member;

deploying the valve device at a desired location within the air passageway so as to cause the at least one proximal anchor member and the at least one distal anchor member to move from a delivered state in which the anchor members are spaced from an air passageway wall to an anchored state in which the anchor members engage the wall; and

releasing the at least one proximal and distal anchor members from engagement with the air passageway wall and removing the valve device from the desired location by engaging a portion of the valve device.

11. The method of claim 10, wherein the portion of the valve device that is engaged for removal of the valve device comprises a portion of the support structure or the obstructing member.

12. The method of claim 11, wherein the portion of the support structure comprises the at least one proximal anchor member, the at least one distal anchor member or a support member.

13. The method of claim 10, wherein the portion of the valve device is engaged by a retractor device.

14. The method of claim 13, wherein the retractor device comprises forceps.

15. A method of removing from a lung air passageway leading to the target section a valve device having an obstructing member supported on a support structure, the support structure comprising multiple proximal anchor members and multiple distal anchor members, the method comprising advancing a catheter into the lung air passageway to a location proximate to the valve device, advancing a retractor device through the catheter, engaging a portion of the valve device with the retractor device, releasing the multiple anchor members from the lung air passageway and positioning the valve device inside of the catheter.

16. A method of removing from a lung air passageway leading to the target section a valve device having an obstructing member supported on a support structure, the support structure, the support structure comprising multiple anchor members that are connected to an anchor base, the anchor base comprising an anchor base aperture, the method comprising advancing a catheter into the lung air passageway to a location proximate to the valve device, advancing a retractor device through the catheter, engaging the anchor base aperture of the valve device with the retractor device, releasing the multiple anchor members from the lung air passageway and positioning the valve device inside of the catheter.