WO2010111528A4 - Dérivations assurant la prise en charge de l'écoulement de l'humeur aqueuse, utilisées pour le traitement du glaucome et caractérisées par des performances chirurgicales améliorées - Google Patents

Dérivations assurant la prise en charge de l'écoulement de l'humeur aqueuse, utilisées pour le traitement du glaucome et caractérisées par des performances chirurgicales améliorées Download PDF

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Publication number
WO2010111528A4
WO2010111528A4 PCT/US2010/028722 US2010028722W WO2010111528A4 WO 2010111528 A4 WO2010111528 A4 WO 2010111528A4 US 2010028722 W US2010028722 W US 2010028722W WO 2010111528 A4 WO2010111528 A4 WO 2010111528A4
Authority
WO
WIPO (PCT)
Prior art keywords
plate
drainage tube
glaucoma shunt
glaucoma
microtexturing
Prior art date
Application number
PCT/US2010/028722
Other languages
English (en)
Other versions
WO2010111528A3 (fr
WO2010111528A8 (fr
WO2010111528A2 (fr
Inventor
Marrie H. Van Der Mooren
Theophilus Bogaert
Rakhi Jain
Original Assignee
Abbott Medical Optics Inc.
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Application filed by Abbott Medical Optics Inc. filed Critical Abbott Medical Optics Inc.
Priority to EP14164712.3A priority Critical patent/EP2789318B1/fr
Priority to EP10722457.8A priority patent/EP2410959B1/fr
Priority to AU2010229789A priority patent/AU2010229789B2/en
Priority to CA2756672A priority patent/CA2756672A1/fr
Publication of WO2010111528A2 publication Critical patent/WO2010111528A2/fr
Publication of WO2010111528A3 publication Critical patent/WO2010111528A3/fr
Publication of WO2010111528A8 publication Critical patent/WO2010111528A8/fr
Publication of WO2010111528A4 publication Critical patent/WO2010111528A4/fr

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F9/00Methods 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
    • A61F9/007Methods or devices for eye surgery
    • A61F9/00781Apparatus for modifying intraocular pressure, e.g. for glaucoma treatment

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  • Health & Medical Sciences (AREA)
  • Ophthalmology & Optometry (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Vascular Medicine (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Prostheses (AREA)
  • External Artificial Organs (AREA)

Abstract

La présente invention concerne un procédé de traitement du glaucome affectant l'œil grâce à la prise en charge de l'écoulement de l'humeur aqueuse par un dispositif de dérivation implanté comportant une plaque élastomère et un tube de drainage élastomère sans valve. La plaque est positionnée sur la sclérotique de l'œil, l'extrémité de sortie du tube de drainage élastomère ouvrant sur la face extérieure de ladite plaque. L'extrémité d'entrée du tube de drainage traverse la sclérotique en direction de la chambre antérieure de l'œil. La plaque peut comporter des zones sur lesquelles les cellules sont plus susceptibles d'adhérer en alternance avec des zones sur lesquelles les cellules sont moins susceptibles d'adhérer. Des zones texturées peuvent, par exemple, être prévues autour de la plaque ou du tube de drainage afin de réguler la taille d'une bulle se formant par-dessus l'implant. L'aire de surface effective de la plaque peut être pondérée par la présence d'un certain nombre de perforations. Le tube de drainage est caractérisé par un profil réduit et peut être conçu de façon à présenter une coupe transversale extérieure non circulaire pour limiter sa hauteur. Un sillon peut être creusé dans la sclérotique pour limiter encore la hauteur du tube de drainage au-dessus de la sclérotique. Un réducteur de débit, utilisé au début de la période suivant l'intervention chirurgicale, entraînera une baisse immédiate de la pression intraoculaire tout en évitant l'hypotonie.
PCT/US2010/028722 2009-03-26 2010-03-25 Dérivations assurant la prise en charge de l'écoulement de l'humeur aqueuse, utilisées pour le traitement du glaucome et caractérisées par des performances chirurgicales améliorées WO2010111528A2 (fr)

Priority Applications (4)

Application Number Priority Date Filing Date Title
EP14164712.3A EP2789318B1 (fr) 2009-03-26 2010-03-25 Dérivations de glaucome avec gestion du débit
EP10722457.8A EP2410959B1 (fr) 2009-03-26 2010-03-25 Dérivations assurant la prise en charge de l'écoulement de l'humeur aqueuse, utilisées pour le traitement du glaucome et caractérisées par des performances chirurgicales améliorées
AU2010229789A AU2010229789B2 (en) 2009-03-26 2010-03-25 Glaucoma shunts with flow management and improved surgical performance
CA2756672A CA2756672A1 (fr) 2009-03-26 2010-03-25 Derivations assurant la prise en charge de l'ecoulement de l'humeur aqueuse, utilisees pour le traitement du glaucome et caracterisees par des performances chirurgicales ameliorees

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US16386209P 2009-03-26 2009-03-26
US61/163,862 2009-03-26

Publications (4)

Publication Number Publication Date
WO2010111528A2 WO2010111528A2 (fr) 2010-09-30
WO2010111528A3 WO2010111528A3 (fr) 2011-03-24
WO2010111528A8 WO2010111528A8 (fr) 2011-04-21
WO2010111528A4 true WO2010111528A4 (fr) 2011-06-16

Family

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Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2010/028722 WO2010111528A2 (fr) 2009-03-26 2010-03-25 Dérivations assurant la prise en charge de l'écoulement de l'humeur aqueuse, utilisées pour le traitement du glaucome et caractérisées par des performances chirurgicales améliorées

Country Status (5)

Country Link
US (2) US8702639B2 (fr)
EP (2) EP2789318B1 (fr)
AU (1) AU2010229789B2 (fr)
CA (1) CA2756672A1 (fr)
WO (1) WO2010111528A2 (fr)

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EP2789318A3 (fr) 2015-02-18
AU2010229789B2 (en) 2014-11-13
EP2410959B1 (fr) 2014-06-11
CA2756672A1 (fr) 2010-09-30
WO2010111528A3 (fr) 2011-03-24
WO2010111528A8 (fr) 2011-04-21
AU2010229789A1 (en) 2011-10-06
WO2010111528A2 (fr) 2010-09-30
US8702639B2 (en) 2014-04-22
EP2789318A2 (fr) 2014-10-15
US20140236068A1 (en) 2014-08-21
EP2410959A2 (fr) 2012-02-01
US20100249691A1 (en) 2010-09-30
EP2789318B1 (fr) 2023-03-15

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