WO2015006729A3 - Devices and methods for lung volume reduction - Google Patents

Devices and methods for lung volume reduction

Info

Publication number
WO2015006729A3
WO2015006729A3 PCT/US2014/046410 US2014046410W WO2015006729A3 WO 2015006729 A3 WO2015006729 A3 WO 2015006729A3 US 2014046410 W US2014046410 W US 2014046410W WO 2015006729 A3 WO2015006729 A3 WO 2015006729A3
Authority
WO
Grant status
Application
Patent type
Prior art keywords
device
distal
proximal
lung
anchors
Prior art date
Application number
PCT/US2014/046410
Other languages
French (fr)
Other versions
WO2015006729A2 (en )
Inventor
Don Tanaka
Tom Saul
Thomas Mcgrath
Jeffery A. KROLIK
Jeff BARBOUR
Amr Salahieh
Original Assignee
Shifamed Holdings, Llc
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

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B17/12022Occluding by internal devices, e.g. balloons or releasable wires
    • A61B17/12131Occluding by internal devices, e.g. balloons or releasable wires characterised by the type of occluding device
    • A61B17/12181Occluding by internal devices, e.g. balloons or releasable wires characterised by the type of occluding device formed by fluidized, gelatinous or cellular remodelable materials, e.g. embolic liquids, foams or extracellular matrices
    • A61B17/12195Occluding by internal devices, e.g. balloons or releasable wires characterised by the type of occluding device formed by fluidized, gelatinous or cellular remodelable materials, e.g. embolic liquids, foams or extracellular matrices comprising a curable material
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0401Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B17/12009Implements for ligaturing other than by clamps or clips, e.g. using a loop with a slip knot
    • A61B17/12013Implements for ligaturing other than by clamps or clips, e.g. using a loop with a slip knot for use in minimally invasive surgery, e.g. endoscopic surgery
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B17/12022Occluding by internal devices, e.g. balloons or releasable wires
    • A61B17/12099Occluding by internal devices, e.g. balloons or releasable wires characterised by the location of the occluder
    • A61B17/12104Occluding by internal devices, e.g. balloons or releasable wires characterised by the location of the occluder in an air passage
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B17/12022Occluding by internal devices, e.g. balloons or releasable wires
    • A61B17/12131Occluding by internal devices, e.g. balloons or releasable wires characterised by the type of occluding device
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B17/12022Occluding by internal devices, e.g. balloons or releasable wires
    • A61B17/12131Occluding by internal devices, e.g. balloons or releasable wires characterised by the type of occluding device
    • A61B17/1214Coils or wires
    • A61B17/12145Coils or wires having a pre-set deployed three-dimensional shape
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B17/12022Occluding by internal devices, e.g. balloons or releasable wires
    • A61B17/12131Occluding by internal devices, e.g. balloons or releasable wires characterised by the type of occluding device
    • A61B17/12168Occluding by internal devices, e.g. balloons or releasable wires characterised by the type of occluding device having a mesh structure
    • A61B17/12172Occluding by internal devices, e.g. balloons or releasable wires characterised by the type of occluding device having a mesh structure having a pre-set deployed three-dimensional shape
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B17/12022Occluding by internal devices, e.g. balloons or releasable wires
    • A61B17/12131Occluding by internal devices, e.g. balloons or releasable wires characterised by the type of occluding device
    • A61B17/12181Occluding by internal devices, e.g. balloons or releasable wires characterised by the type of occluding device formed by fluidized, gelatinous or cellular remodelable materials, e.g. embolic liquids, foams or extracellular matrices
    • A61B17/12186Occluding by internal devices, e.g. balloons or releasable wires characterised by the type of occluding device formed by fluidized, gelatinous or cellular remodelable materials, e.g. embolic liquids, foams or extracellular matrices liquid materials adapted to be injected
    • 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
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/04Hollow or tubular parts of organs, e.g. bladders, tracheae, bronchi or bile ducts
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00491Surgical glue applicators
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00017Electrical control of surgical instruments
    • A61B2017/00022Sensing or detecting at the treatment site
    • A61B2017/00026Conductivity or impedance, e.g. of tissue
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • A61B2017/00349Needle-like instruments having hook or barb-like gripping means, e.g. for grasping suture or tissue
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00743Type of operation; Specification of treatment sites
    • A61B2017/00809Lung operations
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0401Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A61B2017/0409Instruments for applying suture anchors
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0401Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A61B2017/0417T-fasteners
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B2017/0496Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials for tensioning sutures
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/08Accessories or related features not otherwise provided for
    • A61B2090/0807Indication means
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/39Markers, e.g. radio-opaque or breast lesions markers
    • A61B2090/3966Radiopaque markers visible in an X-ray image
    • 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
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/04Hollow or tubular parts of organs, e.g. bladders, tracheae, bronchi or bile ducts
    • A61F2002/043Bronchi

Abstract

A device for mechanically reducing the volume of a lung, comprising a distal anchor, a proximal anchor, and a tether extending between the distal and proximal anchors, the device configured so that the distance between the anchors measured along the tether can be increased or decreased and maintained after release of a delivery device. Some embodiments are a method of endobronchially deploying an anchoring device within the lung to reduce the lung volume, the anchoring device comprising a distal anchor, a proximal anchor, and a tether extending between the distal and proximal anchors, the device configured such that the distance between the distal and proximal anchors measured along the tether can be increased or decreased and then maintained after release of the anchoring device from a delivery device, reducing the volume of the lung by decreasing the distance between the distal and proximal anchors, and maintaining the decreased distance.
PCT/US2014/046410 2013-07-11 2014-07-11 Devices and methods for lung volume reduction WO2015006729A3 (en)

Priority Applications (14)

Application Number Priority Date Filing Date Title
US201361845355 true 2013-07-11 2013-07-11
US61/845,355 2013-07-11
US201361846992 true 2013-07-16 2013-07-16
US61/846,992 2013-07-16
US201361856227 true 2013-07-19 2013-07-19
US61/856,227 2013-07-19
US201361906711 true 2013-11-20 2013-11-20
US61/906,711 2013-11-20
US201361914330 true 2013-12-10 2013-12-10
US61/914,330 2013-12-10
US201361921070 true 2013-12-26 2013-12-26
US61/921,070 2013-12-26
US201461934638 true 2014-01-31 2014-01-31
US61/934,638 2014-01-31

Applications Claiming Priority (5)

Application Number Priority Date Filing Date Title
CN 201480049331 CN105555225A (en) 2013-07-11 2014-07-11 Devices and methods for lung volume reduction
CA 2917573 CA2917573A1 (en) 2013-07-11 2014-07-11 Devices and methods for lung volume reduction
EP20140823196 EP3019120A4 (en) 2013-07-11 2014-07-11 Devices and methods for lung volume reduction
US14903289 US20160374689A1 (en) 2013-07-11 2014-07-11 Devices and methods for lung volume reduction
JP2016525818A JP2016526472A5 (en) 2014-07-11

Publications (2)

Publication Number Publication Date
WO2015006729A2 true WO2015006729A2 (en) 2015-01-15
WO2015006729A3 true true WO2015006729A3 (en) 2015-04-16

Family

ID=52280735

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2014/046410 WO2015006729A3 (en) 2013-07-11 2014-07-11 Devices and methods for lung volume reduction

Country Status (4)

Country Link
EP (1) EP3019120A4 (en)
CN (1) CN105555225A (en)
CA (1) CA2917573A1 (en)
WO (1) WO2015006729A3 (en)

Families Citing this family (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2018027145A1 (en) * 2016-08-04 2018-02-08 Shifamed Holdings, Llc Devices and methods for lung volume reduction

Citations (13)

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US6599311B1 (en) * 1998-06-05 2003-07-29 Broncus Technologies, Inc. Method and assembly for lung volume reduction
US20040167636A1 (en) * 2002-05-17 2004-08-26 Dillard David H. Methods of achieving lung volume reduction with removable anchored devices
US20050022809A1 (en) * 2003-04-25 2005-02-03 Wondka Anthony David Methods, systems and devices for desufflating a lung area
US20060102186A1 (en) * 2004-11-18 2006-05-18 Mark Adler Intra-bronchial apparatus for aspiration and insufflation of lung regions distal to placement or cross communication and deployment and placement system therefor
US20060130830A1 (en) * 2004-09-07 2006-06-22 Uptake Medical Corporation Intra-bronchial implants for improved attachment
US20060135947A1 (en) * 2000-10-27 2006-06-22 Pulmonx Occlusal stent and methods for its use
US20080072914A1 (en) * 2006-08-25 2008-03-27 Hendricksen Michael J Bronchial Isolation Devices for Placement in Short Lumens
US20090228078A1 (en) * 2007-12-12 2009-09-10 Yunlong Zhang System for stimulating autonomic targets from pulmonary artery
US20100094314A1 (en) * 2008-10-10 2010-04-15 Hernlund Jonathan D Tether tensioning devices and related methods
US20110283998A1 (en) * 2002-03-20 2011-11-24 Spiration, Inc. Removable anchored lung volume reduction devices and methods
US20120209308A1 (en) * 2006-03-31 2012-08-16 Spiration, Inc. Articulable anchor
US20130096603A1 (en) * 2006-03-13 2013-04-18 Pneumrx, Inc. Lung Volume Reduction Devices, Methods, and Systems
WO2013078235A1 (en) * 2011-11-23 2013-05-30 Broncus Medical Inc Methods and devices for diagnosing, monitoring, or treating medical conditions through an opening through an airway wall

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US7316706B2 (en) * 2003-06-20 2008-01-08 Medtronic Vascular, Inc. Tensioning device, system, and method for treating mitral valve regurgitation
US8157837B2 (en) * 2006-03-13 2012-04-17 Pneumrx, Inc. Minimally invasive lung volume reduction device and method
US20070265658A1 (en) * 2006-05-12 2007-11-15 Aga Medical Corporation Anchoring and tethering system
US8728093B2 (en) * 2007-09-18 2014-05-20 Boston Scientific Scimed, Inc. Compression, banding and percutaneous airway ligation of emphysematous lung tissue
EP2381852A4 (en) * 2009-01-21 2014-06-11 Tendyne Medical Inc Apical papillary muscle attachment for left ventricular reduction
JP5809621B2 (en) * 2009-05-18 2015-11-11 ヌームアールエックス・インコーポレーテッド Implant for treating a lung of a patient

Patent Citations (13)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6599311B1 (en) * 1998-06-05 2003-07-29 Broncus Technologies, Inc. Method and assembly for lung volume reduction
US20060135947A1 (en) * 2000-10-27 2006-06-22 Pulmonx Occlusal stent and methods for its use
US20110283998A1 (en) * 2002-03-20 2011-11-24 Spiration, Inc. Removable anchored lung volume reduction devices and methods
US20040167636A1 (en) * 2002-05-17 2004-08-26 Dillard David H. Methods of achieving lung volume reduction with removable anchored devices
US20050022809A1 (en) * 2003-04-25 2005-02-03 Wondka Anthony David Methods, systems and devices for desufflating a lung area
US20060130830A1 (en) * 2004-09-07 2006-06-22 Uptake Medical Corporation Intra-bronchial implants for improved attachment
US20060102186A1 (en) * 2004-11-18 2006-05-18 Mark Adler Intra-bronchial apparatus for aspiration and insufflation of lung regions distal to placement or cross communication and deployment and placement system therefor
US20130096603A1 (en) * 2006-03-13 2013-04-18 Pneumrx, Inc. Lung Volume Reduction Devices, Methods, and Systems
US20120209308A1 (en) * 2006-03-31 2012-08-16 Spiration, Inc. Articulable anchor
US20080072914A1 (en) * 2006-08-25 2008-03-27 Hendricksen Michael J Bronchial Isolation Devices for Placement in Short Lumens
US20090228078A1 (en) * 2007-12-12 2009-09-10 Yunlong Zhang System for stimulating autonomic targets from pulmonary artery
US20100094314A1 (en) * 2008-10-10 2010-04-15 Hernlund Jonathan D Tether tensioning devices and related methods
WO2013078235A1 (en) * 2011-11-23 2013-05-30 Broncus Medical Inc Methods and devices for diagnosing, monitoring, or treating medical conditions through an opening through an airway wall

Non-Patent Citations (1)

* Cited by examiner, † Cited by third party
Title
See also references of EP3019120A4 *

Also Published As

Publication number Publication date Type
EP3019120A4 (en) 2017-02-15 application
EP3019120A2 (en) 2016-05-18 application
CA2917573A1 (en) 2015-01-15 application
CN105555225A (en) 2016-05-04 application
WO2015006729A2 (en) 2015-01-15 application
JP2016526472A (en) 2016-09-05 application

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