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US20050043751A1 Expired / Lapsed US ⏱️ 0.0 years remaining

Methods and devices for maintaining patency of surgically created channels in a body organ

Assignee: Broncus Medical Inc
•
Filing: 2004-07-19
•
Granted: —
•
Expires: 2024-07-19
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Abstract

Abstract This is directed to methods and devices suited for maintaining an opening in a wall of a body organ for an extended period. More particularly devices and methods are directed maintaining patency of channels that alter gaseous flow within a lung to improve the expiration cycle of, for instance, an individual having chronic obstructive pulmonary disease.

Inventors

  • 👤 Loc Phan
  • 👤 Ed Roschak

Bibliographic Details

Application Number —
Jurisdiction US
Data Source google_patents
Last Synchronized 2026-10-23 00:45
CPC Classifications
A; A61; A61B; A61B17/00; A61B17/064; A61B17/08; A61B17/083; A61B17/10; A61B17/12; A61B17/12022; A61B17/12099; A61B17/12104; A61B17/00491; A61B17/00234; A61B2017/00238; A61B2017/00243; A61B2017/00247; A61B2017/00252; A61B2017/00743; A61B2017/00809; A61B18/00; A61B2018/00315; A61B2018/00541; A61F; A61F2/00; A61F2/02; A61F2/04; A61F2/06; A61F2002/068

Claims Analysis

Total Claims: 33
Claim 1
Independent Claim 119 words
1 . An implant for maintaining an opening in a wall of a body organ, the implant having a delivery state and an expanded state, the implant comprising: a support member where at least a first portion of the support member comprises a plurality of control segments folded in a curvilinear shape, upon assuming the expanded state the control segments unfold and are located circumferentially about the support member to limit expansion of the first portion of the support member, where the support member has at least a second portion unconstrained to expand beyond the first portion such that upon expansion the support member is non-cylindrical; and a composition located on the support member and comprising an antiproliferative agent.
Claim 2
Dependent Claim 119 words
1 . An implant for maintaining an opening in a wall of a body organ, the implant having a delivery state and an expanded state, the implant comprising: a support member where at least a first portion of the support member comprises a plurality of control segments folded in a curvilinear shape, upon assuming the expanded state the control segments unfold and are located circumferentially about the support member to limit expansion of the first portion of the support member, where the support member has at least a second portion unconstrained to expand beyond the first portion such that upon expansion the support member is non-cylindrical; and a composition located on the support member and comprising an antiproliferative agent.
Claim 3
Dependent Claim 53 words
2 . The implant of claim 1 , where the support member further comprises a third portion on an end of the support member opposite to that of the second portion, the third portion is unconstrained to expand beyond the first portion, such that upon expansion the support member forms a grommet shape.
Claim 4
Dependent Claim 29 words
3 . The implant of claim 1 , where the curvilinear shape is selected from a group consisting of an s-shape, a v-shape, a u-shape, and a sinusoidal shape.
Claim 5
Dependent Claim 79 words
4 . The implant of claim 1 , where the composition comprises an amount of antiproliferative agent that does not exhibit substantial cytotoxicity but controls the healing response by suppressing hyperplasia of lung tissue, to maintain patency of an artificial opening located in the airway which allows for maintaining air passage between the opening and parenchyma for a sufficient time until the healing response of the lung tissue subsides such that the opening essentially becomes a natural airway passage.
Claim 6
Dependent Claim 15 words
5 . The implant of claim 1 , where the composition further comprises a polymer.
Claim 7
Dependent Claim 37 words
6 . The implant of claim 5 , where the composition comprises both a release rate and an amount of antiproliferative substance sufficient to modify a healing response of lung tissue resulting from creation of the opening.
Claim 8
Dependent Claim 55 words
7 . The implant of claim 5 , where the polymer is selected from a group consisting of thermoplastic polymers, thermoset polymers, acrylate polymers, a blend of acrylate-methacrylate polymers, silicone elastomers, urethane elastomers, ethylene vinyl acetate polymers, polyethylene, polypropylene, PLA-PGA, PLA, PGA, polyortho-ester, polycapralactone, polyester, hydrogels, polystyrene, co-polymers of styrene-isobutylene-styrene, and combinations or blends thereof.
Claim 9
Dependent Claim 25 words
8 . The conduit of claim 5 , further comprising a dye located in the polymer to aid in identification of the implant during placement.
Claim 10
Dependent Claim 20 words
9 . The implant of claim 5 , where the composition fully covers an outer surface of the support member.
Claim 11
Dependent Claim 20 words
10 . The implant of claim 9 , where the polymer fully encapsulates an interior surface of the support member.
Claim 12
Dependent Claim 17 words
11 . The implant of claim 5 , where the support member comprises a second polymeric material.
Claim 13
Dependent Claim 17 words
12 . The implant of claim 11 , where the polymer and second polymeric material are bioabsorbable.
Claim 14
Dependent Claim 43 words
13 . The implant of claim 1 , where the support member has at least one pocket where the antiproliferative substance is located in the pocket, and further comprising a polymer at least covering the pocket to act as a barrier to release.
Claim 15
Dependent Claim 16 words
14 . The implant of claim 1 , where the support member comprises a metallic material.
Claim 16
Dependent Claim 25 words
15 . The implant of claim 1 , where the support member comprises a plurality of members forming a mesh having a plurality of interstices.
Claim 17
Dependent Claim 25 words
16 . The implant of claim 15 , where the composition further includes a polymer and the composition covers the members but not the interstices.
Claim 18
Dependent Claim 17 words
17 . The implant of claim 1 , where the antiproliferative substance comprises a microtubule stabilizing agent.
Claim 19
Dependent Claim 15 words
18 . The implant of claim 17 , where the microtubule stabilizing agent is paclitaxel.
Claim 20
Dependent Claim 17 words
19 . The implant of claim 1 , where the antiproliferative substance comprises a microtubule destabilizing agent.
Claim 21
Dependent Claim 33 words
20 . The implant of claim 19 , where the microtubule destabilizing agent is selected from the group comprising vincristine, vinblastine, podophylotoxin, estramustine, noscapine, griseofulvine, dicoumarol, a vinca alkaloid, and a combination thereof.
Claim 22
Dependent Claim 30 words
21 . The implant of claim 1 , where the antiproliferative substance comprises a substance selected from the group consisting of steroids, non-steroidal anti-inflammatories, and d-actinomycin, and a combination thereof.
Claim 23
Dependent Claim 16 words
22 . The implant of claim 1 , where the antiproliferative substance comprises a cytostatic agent.
Claim 24
Dependent Claim 28 words
23 . The implant of claim 22 , where the cytostatic agent is selected from the group consisting of: sirolimus, everolimus, ABT-578, biolimus, tacrolimus, and a combination thereof.
Claim 25
Dependent Claim 14 words
24 . The implant of claim 1 , further comprising a mucus affecting substance.
Claim 26
Dependent Claim 26 words
25 . The implant of claim 24 , where the mucus affecting substance is selected from a group consisting of mucolytics, pulmozyme, and a combination thereof.
Claim 27
Dependent Claim 23 words
26 . The implant of claim 1 , further comprising at least one visualization mark disposed on a portion of the support member.
Claim 28
Dependent Claim 25 words
27 . The implant of claim 26 , where the visualization mark comprises a stripe circumferentially disposed about at least a portion the support member.
Claim 29
Dependent Claim 20 words
28 . The implant of claim 1 , further comprising a one-way valve in fluid communication with the interior passage.
Claim 30
Dependent Claim 20 words
29 . The implant of claim 1 , further comprising an antibiotic substance carried on or within the support member.
Claim 31
Dependent Claim 17 words
30 . The implant of claim 1 , further comprising a barrier located within the support member.
Claim 32
Dependent Claim 14 words
31 . The implant of claim 1 , further comprising a fibrin reducing substance.
Claim 33
Dependent Claim 26 words
32 . The implant of claim 31 , where the fibrin reducing substance is selected from a group consisting of streptokinase, urokinase, and tissue plasminogen activator.

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