US20040074491A1 — Delivery methods and devices for implantable bron…

Claim 1

Independent Claim 91 words

1 . An apparatus for deploying a bronchial device in a bronchial passageway in a lung of a patient, comprising: a flexible shaft having an inner lumen and a distal end adapted to engage the bronchial isolation device; a wire slidably disposed in the inner lumen; and a housing movably coupled to the distal end of the shaft and configured to receive the bronchial device; wherein the wire is connected to the housing to produce relative movement between the housing and the shaft to deploy the bronchial device from the housing.

Claim 2

Dependent Claim 91 words

1 . An apparatus for deploying a bronchial device in a bronchial passageway in a lung of a patient, comprising: a flexible shaft having an inner lumen and a distal end adapted to engage the bronchial isolation device; a wire slidably disposed in the inner lumen; and a housing movably coupled to the distal end of the shaft and configured to receive the bronchial device; wherein the wire is connected to the housing to produce relative movement between the housing and the shaft to deploy the bronchial device from the housing.

Claim 3

Dependent Claim 17 words

2 . The apparatus of claim 1 , wherein the housing is releasably coupled to the shaft.

Claim 4

Dependent Claim 36 words

3 . The apparatus of claim 1 , further comprising a flange coupled to the distal end of the shaft and movably disposed in the housing, wherein the flange is adapted to engage the bronchial device.

Claim 5

Dependent Claim 17 words

4 . The apparatus of claim 3 , wherein the flange is releasably coupled to the shaft.

Claim 6

Dependent Claim 13 words

5 . The apparatus of claim 1 , wherein the housing is rigid.

Claim 7

Dependent Claim 18 words

6 . The apparatus of claim 1 , wherein the housing is shapable into a desired cross-sectional shape.

Claim 8

Dependent Claim 15 words

7 . The apparatus of claim 1 , wherein the housing has a non-circular cross-section.

Claim 9

Dependent Claim 17 words

8 . The apparatus of claim 7 , wherein the housing is crescent-shaped or partially-circular in cross-section.

Claim 10

Dependent Claim 17 words

9 . The apparatus of claim 7 , wherein the housing is oval or elliptical in cross-section.

Claim 11

Dependent Claim 28 words

10 . The apparatus of claim 1 , wherein the housing is configured to remain stationary relative to the bronchial passageway as the bronchial device is deployed therefrom.

Claim 12

Dependent Claim 34 words

11 . The apparatus of claim 1 , wherein the distal end of the shaft is configured to remain stationary relative to the bronchial passageway as the bronchial device is deployed from the housing.

Claim 13

Dependent Claim 23 words

12 . The apparatus of claim 1 , wherein the shaft is configured to be placed through a working channel of a bronchoscope.

Claim 14

Dependent Claim 19 words

13 . The apparatus of claim 12 , wherein the housing is collapsible for insertion through the working channel.

Claim 15

Dependent Claim 24 words

14 . The apparatus of claim 12 , wherein the housing has a cross-sectional size larger than a cross-sectional size of the working channel.

Claim 16

Dependent Claim 28 words

15 . The apparatus of claim 12 , wherein the housing is adapted for attachment to the shaft after the shaft has been positioned in the working channel.

Claim 17

Dependent Claim 43 words

16 . The apparatus of claim 12 , further comprising a handle adapted to move the wire relative to the shaft, the handle being adapted for attachment to the shaft and the wire after the shaft has been positioned in the working channel.

Claim 18

Dependent Claim 25 words

17 . The apparatus of claim 12 , further comprising a locking mechanism for locking the position of the shaft relative to the working channel.

Claim 19

Dependent Claim 36 words

18 . The apparatus of claim 17 , wherein the locking mechanism comprises a clamp slidably coupled to the shaft, the clamp being configured to engage the shaft for locking the shaft in a desired position.

Claim 20

Dependent Claim 17 words

19 . The apparatus of claim 18 , wherein the clamp may be coupled to the bronchoscope.

Claim 21

Dependent Claim 27 words

20 . The apparatus of claim 1 , wherein the shaft defines a longitudinal axis, the housing being coupled to the shaft off-center from the longitudinal axis.

Claim 22

Dependent Claim 84 words

21 . A guidewire for guiding a bronchial device into a bronchial passageway in a lung, the bronchial device having an inner lumen, the guidewire comprising: an elongate flexible wire having a distal end configured for introduction through the patient's trachea into the bronchial passage, the wire being slidably positionable in the inner lumen of the bronchial device; an anchor coupled to the wire, the anchor being configured to engage a wall of the bronchial passage to retain the position of the guidewire therein.

Claim 23

Dependent Claim 84 words

21 . A guidewire for guiding a bronchial device into a bronchial passageway in a lung, the bronchial device having an inner lumen, the guidewire comprising: an elongate flexible wire having a distal end configured for introduction through the patient's trachea into the bronchial passage, the wire being slidably positionable in the inner lumen of the bronchial device; an anchor coupled to the wire, the anchor being configured to engage a wall of the bronchial passage to retain the position of the guidewire therein.

Claim 24

Dependent Claim 15 words

22 . The guidewire of claim 21 , wherein the bronchial device comprises a bronchoscope.

Claim 25

Dependent Claim 26 words

23 . The guidewire of claim 21 , wherein the bronchial device comprises a delivery catheter for delivering a flow control device into the bronchial passage.

Claim 26

Dependent Claim 25 words

24 . The guidewire of claim 21 , wherein the bronchial device comprises a flow control device for modifying fluid flow through the bronchial passage.

Claim 27

Dependent Claim 33 words

25 . The guidewire of claim 21 , wherein the anchor comprises a plurality of struts, the struts being movable radially outward from the wire to engage the wall of the bronchial passage.

Claim 28

Dependent Claim 32 words

26 . The guidewire of claim 25 , wherein the wire has an inner lumen, the guidewire further comprising an inner wire slidably disposed in the inner lumen for moving the struts.

Claim 29

Dependent Claim 27 words

27 . The guidewire of claim 21 , wherein the anchor comprises an inflatable balloon, the wire having an inflation lumen therein in communication with the balloon.

Claim 30

Dependent Claim 71 words

28 . A method of positioning a device in a bronchial passageway in a patient's lung, the method comprising: positioning a guidewire in the bronchial passageway, the guidewire having an anchor coupled thereto; engaging the anchor to a wall of the bronchial passage to retain the position of the guidewire therein; inserting the guidewire through a lumen in the device; and sliding the device along the guidewire into the bronchial passage.

Claim 31

Dependent Claim 71 words

28 . A method of positioning a device in a bronchial passageway in a patient's lung, the method comprising: positioning a guidewire in the bronchial passageway, the guidewire having an anchor coupled thereto; engaging the anchor to a wall of the bronchial passage to retain the position of the guidewire therein; inserting the guidewire through a lumen in the device; and sliding the device along the guidewire into the bronchial passage.

Claim 32

Dependent Claim 31 words

29 . The method of claim 28 , wherein engaging the anchor to a wall of the bronchial passageway comprises expanding the anchor to engage the wall of the bronchial passageway.

Claim 33

Dependent Claim 20 words

30 . The method of claim 29 , wherein expanding the anchor comprises inflating a balloon coupled to the guidewire.

Claim 34

Dependent Claim 23 words

31 . The method of claim 29 , wherein expanding the anchor comprises moving a plurality of struts radially outward from the guidewire.

Claim 35

Dependent Claim 14 words

32 . The method of claim 28 , wherein the device comprises a bronchoscope.

Claim 36

Dependent Claim 15 words

33 . The method of claim 28 , wherein the device comprises a delivery catheter.

Claim 37

Dependent Claim 22 words

34 . The method of claim 28 , further comprising deploying a flow control element into the bronchial passageway from the device.

Claim 38

Dependent Claim 31 words

35 . The method of claim 28 , wherein positioning the guidewire in the bronchial passageway comprises positioning the guidewire in a lumen of a bronchoscope positioned in the bronchial passageway.

Claim 39

Dependent Claim 27 words

36 . The method of claim 35 , further comprising removing the bronchoscope after engaging the anchor to leave the guidewire in place in the bronchial lumen.

Claim 40

Dependent Claim 91 words

37 . A method of deploying a bronchial device in a bronchial passageway in a patient's lung, the method comprising: positioning a bronchoscope in the patient's lung, the bronchoscope having a working channel; positioning a shaft of a delivery catheter through the working channel; coupling a housing to a distal end of the shaft while the shaft is positioned in the working channel; advancing the delivery catheter with the housing carrying the bronchial device until the housing is positioned in the bronchial passageway; and releasing the bronchial device from the housing.

Claim 41

Dependent Claim 91 words

37 . A method of deploying a bronchial device in a bronchial passageway in a patient's lung, the method comprising: positioning a bronchoscope in the patient's lung, the bronchoscope having a working channel; positioning a shaft of a delivery catheter through the working channel; coupling a housing to a distal end of the shaft while the shaft is positioned in the working channel; advancing the delivery catheter with the housing carrying the bronchial device until the housing is positioned in the bronchial passageway; and releasing the bronchial device from the housing.

Claim 42

Dependent Claim 29 words

38 . The method of claim 37 , further comprising inserting the bronchial device into the housing prior to coupling the housing to the distal end of the shaft.

Claim 43

Dependent Claim 117 words

39 . A method of deploying a bronchial device in a bronchial passageway in a patient's lung, the method comprising: providing a bronchoscope, the bronchoscope having a working channel; positioning a shaft of a delivery catheter through the working channel, the shaft having a housing coupled to its distal end, the housing carrying the bronchial device; coupling a handle to a proximal end of the shaft with the shaft positioned in the working channel, the handle having a movable actuator; positioning the bronchoscope in the patient's lung with the shaft positioned in the working channel; advancing the delivery catheter until the housing is positioned in the bronchial passageway; and moving the actuator to release the bronchial device.

Claim 44

Dependent Claim 117 words

39 . A method of deploying a bronchial device in a bronchial passageway in a patient's lung, the method comprising: providing a bronchoscope, the bronchoscope having a working channel; positioning a shaft of a delivery catheter through the working channel, the shaft having a housing coupled to its distal end, the housing carrying the bronchial device; coupling a handle to a proximal end of the shaft with the shaft positioned in the working channel, the handle having a movable actuator; positioning the bronchoscope in the patient's lung with the shaft positioned in the working channel; advancing the delivery catheter until the housing is positioned in the bronchial passageway; and moving the actuator to release the bronchial device.

Claim 45

Dependent Claim 83 words

40 . A method of deploying a bronchial device in a bronchial passageway in a patient's lung, the method comprising: positioning a bronchoscope in the patient's lung, the bronchoscope having a working channel; positioning a delivery catheter through the working channel, the delivery catheter having a housing carrying the bronchial device; advancing the delivery catheter until the housing is positioned in the bronchial passageway; locking the delivery catheter in position relative to the working channel; and releasing the bronchial device from the housing.

Claim 46

Dependent Claim 83 words

40 . A method of deploying a bronchial device in a bronchial passageway in a patient's lung, the method comprising: positioning a bronchoscope in the patient's lung, the bronchoscope having a working channel; positioning a delivery catheter through the working channel, the delivery catheter having a housing carrying the bronchial device; advancing the delivery catheter until the housing is positioned in the bronchial passageway; locking the delivery catheter in position relative to the working channel; and releasing the bronchial device from the housing.

Delivery methods and devices for implantable bronchial isolation devices

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