CA2648346A1 - Shunt device for treating glaucoma - Google Patents
Shunt device for treating glaucoma Download PDFInfo
- Publication number
- CA2648346A1 CA2648346A1 CA002648346A CA2648346A CA2648346A1 CA 2648346 A1 CA2648346 A1 CA 2648346A1 CA 002648346 A CA002648346 A CA 002648346A CA 2648346 A CA2648346 A CA 2648346A CA 2648346 A1 CA2648346 A1 CA 2648346A1
- Authority
- CA
- Canada
- Prior art keywords
- shunt device
- implant
- canal
- distal portion
- schlemm
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Granted
Links
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F9/00—Methods or devices for treatment of the eyes; Devices for putting-in contact lenses; Devices to correct squinting; Apparatus to guide the blind; Protective devices for the eyes, carried on the body or in the hand
- A61F9/007—Methods or devices for eye surgery
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F9/00—Methods or devices for treatment of the eyes; Devices for putting-in contact lenses; Devices to correct squinting; Apparatus to guide the blind; Protective devices for the eyes, carried on the body or in the hand
- A61F9/007—Methods or devices for eye surgery
- A61F9/00781—Apparatus for modifying intraocular pressure, e.g. for glaucoma treatment
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M25/00—Catheters; Hollow probes
- A61M25/0067—Catheters; Hollow probes characterised by the distal end, e.g. tips
- A61M25/0068—Static characteristics of the catheter tip, e.g. shape, atraumatic tip, curved tip or tip structure
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M25/00—Catheters; Hollow probes
- A61M25/0067—Catheters; Hollow probes characterised by the distal end, e.g. tips
- A61M25/0068—Static characteristics of the catheter tip, e.g. shape, atraumatic tip, curved tip or tip structure
- A61M25/007—Side holes, e.g. their profiles or arrangements; Provisions to keep side holes unblocked
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2230/00—Geometry of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2230/0002—Two-dimensional shapes, e.g. cross-sections
- A61F2230/0004—Rounded shapes, e.g. with rounded corners
- A61F2230/0008—Rounded shapes, e.g. with rounded corners elliptical or oval
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2230/00—Geometry of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2230/0002—Two-dimensional shapes, e.g. cross-sections
- A61F2230/0028—Shapes in the form of latin or greek characters
- A61F2230/0052—T-shaped
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2250/00—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2250/0058—Additional features; Implant or prostheses properties not otherwise provided for
- A61F2250/0067—Means for introducing or releasing pharmaceutical products into the body
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F9/00—Methods or devices for treatment of the eyes; Devices for putting-in contact lenses; Devices to correct squinting; Apparatus to guide the blind; Protective devices for the eyes, carried on the body or in the hand
- A61F9/0008—Introducing ophthalmic products into the ocular cavity or retaining products therein
- A61F9/0017—Introducing ophthalmic products into the ocular cavity or retaining products therein implantable in, or in contact with, the eye, e.g. ocular inserts
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M2210/00—Anatomical parts of the body
- A61M2210/06—Head
- A61M2210/0612—Eyes
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M25/00—Catheters; Hollow probes
- A61M25/0067—Catheters; Hollow probes characterised by the distal end, e.g. tips
- A61M25/0074—Dynamic characteristics of the catheter tip, e.g. openable, closable, expandable or deformable
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Ophthalmology & Optometry (AREA)
- Anesthesiology (AREA)
- Hematology (AREA)
- Pulmonology (AREA)
- Biophysics (AREA)
- Vascular Medicine (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Surgery (AREA)
- Prostheses (AREA)
- Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)
- Media Introduction/Drainage Providing Device (AREA)
- Medicines Containing Material From Animals Or Micro-Organisms (AREA)
- Radiation-Therapy Devices (AREA)
- External Artificial Organs (AREA)
- Medicines That Contain Protein Lipid Enzymes And Other Medicines (AREA)
- Eye Examination Apparatus (AREA)
- Materials For Medical Uses (AREA)
- Ultra Sonic Daignosis Equipment (AREA)
- Treatments For Attaching Organic Compounds To Fibrous Goods (AREA)
- Crystals, And After-Treatments Of Crystals (AREA)
- Arc Welding In General (AREA)
Abstract
Shunt devices and a method for continuously decompressing elevated intraocular pressure in eyes affected by glaucoma by diverting excess aqueous humor from the anterior chamber of the eye into Schlemm's canal where post-operative patency can be maintained with an indwelling shunt device which surgically connects the canal with the anterior chamber. The shunt devices provide uni- or bi-directional flow of aqueous humor into Schlemm's canal.
Claims (25)
1. An implant of biocompatible material for treating glaucoma, comprising:
a body having a flow passage which conducts fluid from the anterior chamber to Schlemm's canal;
said body having an axis extending substantially perpendicular to the canal when implanted, said body having at least first and second surface portions within Schlemm's canal that extend transversely to said axis on opposite sides of the axis.
a body having a flow passage which conducts fluid from the anterior chamber to Schlemm's canal;
said body having an axis extending substantially perpendicular to the canal when implanted, said body having at least first and second surface portions within Schlemm's canal that extend transversely to said axis on opposite sides of the axis.
2. The implant of claim 1, wherein the surface portions are disposed on the implant so as to contact a trabecular meshwork of the eye when implanted.
3. The implant of claim 1, wherein the surface portions are disposed on the implant so as to contact scleral tissue.
4. The implant of claim 1, wherein the axis further comprises a terminal aspect angulated to face away from the iris.
5. The implant of claim 1, wherein the body further comprises a valve.
6. The implant of claim 1, wherein the implant generally has a T-shape.
7. The implant of claim 1, wherein at least a portion of the implant is comprised of a solid material.
8. The implant of claim 7, wherein the solid material is porous.
9. The implant of claim 1, wherein at least a portion of the implant comprises a mesh material.
10. The implant of claim 1, wherein at least a portion of the implant is fenestrated.
11. The implant of claim 1, wherein the implant further comprises a therapeutic agent.
12. An aqueous humor shunt device to divert aqueous humor in an eye from the anterior chamber into Schlemm's canal, the shunt device comprising:
a proximal portion sized and shaped to be received within the anterior chamber of the eye and having an inlet, a distal portion sized and shaped to be received within Schlemm's canal and having at least one outlet, and a lumen extending at least between the inlet and the at least one outlet, wherein the proximal portion intersects the distal portion such the distal portion has at least one shoulder that extend substantially perpendicular to an axis of a segment of the lumen that extends through the proximal portion.
a proximal portion sized and shaped to be received within the anterior chamber of the eye and having an inlet, a distal portion sized and shaped to be received within Schlemm's canal and having at least one outlet, and a lumen extending at least between the inlet and the at least one outlet, wherein the proximal portion intersects the distal portion such the distal portion has at least one shoulder that extend substantially perpendicular to an axis of a segment of the lumen that extends through the proximal portion.
13. The shunt device of claim 12, wherein the proximal portion intersects the distal portion such that a first section of the shoulder extends in a first direction and a second section of the shoulder extends in an opposite, second direction.
14. The shunt device of claim 12, wherein the proximal portion intersects the distal portion at about the midpoint of the distal portion.
15. The shunt device of claim 12, wherein the proximal portion intersects the distal portion at an acute angle.
16. The shunt device of claim 12, wherein the proximal portion intersects the distal portion at a substantially right angle.
17. The shunt device of claim 12, wherein the shunt device is constructed of a flexible material.
18. The shunt device of claim 12, wherein at least a portion of the shunt device is constructed of a solid material.
19. The shunt device of claim 12, wherein the shunt device is constructed of a biocompatible material.
20. The shunt device of claim 12, wherein at least a portion of the shunt device is constructed of a mesh material.
21. The shunt device of claim 12, wherein at least a portion of the shunt device is constructed of a porous material.
22. The shunt device of claim 12, wherein at least a portion of the shunt device comprises a metal.
23. The shunt device of claim 12, wherein the shunt device comprises an anchoring portion to stabilize the shunt device relative to Schlemm's canal.
24. The shunt device of claim 12, further comprising a plurality of proximal portions intersecting the distal portion.
25. The shunt device of claim 12, wherein the shunt device comprises a plurality of lumens extending between the inlet and the at least one outlet.
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US13103099P | 1999-04-26 | 1999-04-26 | |
US60/131,030 | 1999-04-26 | ||
CA002368354A CA2368354C (en) | 1999-04-26 | 2000-04-26 | Shunt device and method for treating glaucoma |
Related Parent Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
CA002368354A Division CA2368354C (en) | 1999-04-26 | 2000-04-26 | Shunt device and method for treating glaucoma |
Publications (2)
Publication Number | Publication Date |
---|---|
CA2648346A1 true CA2648346A1 (en) | 2000-11-02 |
CA2648346C CA2648346C (en) | 2012-12-04 |
Family
ID=22447552
Family Applications (5)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
CA2648346A Expired - Lifetime CA2648346C (en) | 1999-04-26 | 2000-04-26 | Shunt device for treating glaucoma |
CA002368354A Expired - Lifetime CA2368354C (en) | 1999-04-26 | 2000-04-26 | Shunt device and method for treating glaucoma |
CA002368314A Abandoned CA2368314A1 (en) | 1999-04-26 | 2000-04-26 | Trabeculotomy device and method for treating glaucoma |
CA002368342A Abandoned CA2368342A1 (en) | 1999-04-26 | 2000-04-26 | Stent device and method for treating glaucoma |
CA002368335A Expired - Fee Related CA2368335C (en) | 1999-04-26 | 2000-04-26 | Inflatable device and method for treating glaucoma |
Family Applications After (4)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
CA002368354A Expired - Lifetime CA2368354C (en) | 1999-04-26 | 2000-04-26 | Shunt device and method for treating glaucoma |
CA002368314A Abandoned CA2368314A1 (en) | 1999-04-26 | 2000-04-26 | Trabeculotomy device and method for treating glaucoma |
CA002368342A Abandoned CA2368342A1 (en) | 1999-04-26 | 2000-04-26 | Stent device and method for treating glaucoma |
CA002368335A Expired - Fee Related CA2368335C (en) | 1999-04-26 | 2000-04-26 | Inflatable device and method for treating glaucoma |
Country Status (25)
Country | Link |
---|---|
US (17) | US6464724B1 (en) |
EP (9) | EP2027837B1 (en) |
JP (7) | JP2003524466A (en) |
KR (2) | KR20020035476A (en) |
CN (1) | CN1354642A (en) |
AT (5) | ATE293945T1 (en) |
AU (6) | AU767526B2 (en) |
BR (2) | BR0010054A (en) |
CA (5) | CA2648346C (en) |
CZ (2) | CZ20013822A3 (en) |
DE (4) | DE60037406T2 (en) |
ES (5) | ES2609594T3 (en) |
HK (2) | HK1041195B (en) |
HU (2) | HUP0200860A2 (en) |
IL (2) | IL146021A0 (en) |
MX (5) | MXPA01010830A (en) |
NO (6) | NO20015209L (en) |
NZ (4) | NZ514934A (en) |
PL (2) | PL351950A1 (en) |
PT (1) | PT1173124E (en) |
RU (2) | RU2234894C2 (en) |
SI (1) | SI1173124T1 (en) |
SK (2) | SK15402001A3 (en) |
TR (2) | TR200103097T2 (en) |
WO (4) | WO2000064390A1 (en) |
Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN113081474A (en) * | 2021-03-31 | 2021-07-09 | 武汉爱尔眼科医院有限公司 | Adjustable aqueous humor drainage device for glaucoma eyes and use method |
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US20050119601A9 (en) * | 1999-04-26 | 2005-06-02 | Lynch Mary G. | Shunt device and method for treating glaucoma |
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- 2000-04-26 WO PCT/US2000/011215 patent/WO2000064391A1/en not_active Application Discontinuation
- 2000-04-26 CN CN00806812A patent/CN1354642A/en active Pending
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2001
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2002
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Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN113081474A (en) * | 2021-03-31 | 2021-07-09 | 武汉爱尔眼科医院有限公司 | Adjustable aqueous humor drainage device for glaucoma eyes and use method |
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