WO2008140989A3 - Medical devices and procedures for assessing a lung and treating chronic obstructive pulmonary disease - Google Patents

Medical devices and procedures for assessing a lung and treating chronic obstructive pulmonary disease Download PDF

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Publication number
WO2008140989A3
WO2008140989A3 PCT/US2008/062680 US2008062680W WO2008140989A3 WO 2008140989 A3 WO2008140989 A3 WO 2008140989A3 US 2008062680 W US2008062680 W US 2008062680W WO 2008140989 A3 WO2008140989 A3 WO 2008140989A3
Authority
WO
WIPO (PCT)
Prior art keywords
lung
pleura
procedures
medical devices
pulmonary disease
Prior art date
Application number
PCT/US2008/062680
Other languages
French (fr)
Other versions
WO2008140989A2 (en
Inventor
Don Tanaka
Scott M Russell
Alex Nedvetsky
Attila Meretei
Carl J Evens
Asia Chang
Walter J Aster
Original Assignee
Portaero Inc
Don Tanaka
Scott M Russell
Alex Nedvetsky
Attila Meretei
Carl J Evens
Asia Chang
Walter J Aster
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 Portaero Inc, Don Tanaka, Scott M Russell, Alex Nedvetsky, Attila Meretei, Carl J Evens, Asia Chang, Walter J Aster filed Critical Portaero Inc
Priority to EP08747659A priority Critical patent/EP2146653A2/en
Publication of WO2008140989A2 publication Critical patent/WO2008140989A2/en
Publication of WO2008140989A3 publication Critical patent/WO2008140989A3/en

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Classifications

    • 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
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    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
    • A61B17/3421—Cannulas
    • 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
    • A61F2/00—Filters 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
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    • A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
    • A61M16/04—Tracheal tubes
    • A61M16/0402—Special features for tracheal tubes not otherwise provided for
    • A61M16/0404—Special features for tracheal tubes not otherwise provided for with means for selective or partial lung respiration
    • A61M16/0406—Special features for tracheal tubes not otherwise provided for with means for selective or partial lung respiration implanted flow modifiers
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    • A61B2017/3425—Access ports, e.g. toroid shape introducers for instruments or hands for internal organs, e.g. heart ports
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    • A61B90/39—Markers, e.g. radio-opaque or breast lesions markers
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    • A61F2/00—Filters 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
    • A61F2/0063—Implantable repair or support meshes, e.g. hernia meshes
    • A—HUMAN NECESSITIES
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    • 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
    • A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
    • A61M16/10—Preparation of respiratory gases or vapours
    • A61M16/1005—Preparation of respiratory gases or vapours with O2 features or with parameter measurement
    • A61M16/101—Preparation of respiratory gases or vapours with O2 features or with parameter measurement using an oxygen concentrator
    • A—HUMAN NECESSITIES
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    • A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
    • A61M16/10—Preparation of respiratory gases or vapours
    • A61M16/105—Filters
    • A61M16/106—Filters in a path
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    • A61M2039/025—Semi-permanent or permanent transcutaneous or percutaneous access sites to the inside of the body through bones or teeth, e.g. through the skull
    • A—HUMAN NECESSITIES
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    • 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
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    • A61M39/0247—Semi-permanent or permanent transcutaneous or percutaneous access sites to the inside of the body
    • A61M2039/0252—Semi-permanent or permanent transcutaneous or percutaneous access sites to the inside of the body for access to the lungs
    • A—HUMAN NECESSITIES
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    • A61M2039/0276—Semi-permanent or permanent transcutaneous or percutaneous access sites to the inside of the body for introducing or removing fluids into or out of the body
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    • A61M39/02—Access sites
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    • A61M2210/00—Anatomical parts of the body
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    • A61M2210/00—Anatomical parts of the body
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    • A—HUMAN NECESSITIES
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    • A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/02—Holding devices, e.g. on the body
    • A61M25/04—Holding devices, e.g. on the body in the body, e.g. expansible

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Veterinary Medicine (AREA)
  • Biomedical Technology (AREA)
  • Engineering & Computer Science (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Pulmonology (AREA)
  • Anesthesiology (AREA)
  • Hematology (AREA)
  • Surgery (AREA)
  • Biophysics (AREA)
  • Gastroenterology & Hepatology (AREA)
  • Pathology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Emergency Medicine (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Cardiology (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Transplantation (AREA)
  • Vascular Medicine (AREA)
  • Prostheses (AREA)
  • Surgical Instruments (AREA)

Abstract

A pulmonary pleural stabilizer (1102) holds the visceral pleura (1101) of the lung during surgical procedures accessing the lung of a patient directly through the chest wall. The stabilizer allows the lung to be opened while another device (1204) is inserted and sealed to the lung. A localized pleurodesis may be created utilizing a chemical component to create an acute adhesion and a mechanical component to create a chronic adhesion. Once a device is inserted into the lung, a pleura anastomosis reinforcement device may be positioned adjacent the device to provide structural reinforcement and prevent damage to the pleura. A visceral pleura ring connector may also be positioned around the pleura and the device to receive and secure the device. A mechanical device or chemical process ensures that air flows freely through the implanted device. The medical devices and procedures provide treatments for chronic obstructive pulmonary disease and emphysema.
PCT/US2008/062680 2007-05-11 2008-05-05 Medical devices and procedures for assessing a lung and treating chronic obstructive pulmonary disease WO2008140989A2 (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
EP08747659A EP2146653A2 (en) 2007-05-11 2008-05-05 Medical devices and procedures for assessing a lung and treating chronic obstructive pulmonary disease

Applications Claiming Priority (14)

Application Number Priority Date Filing Date Title
US99975807P 2007-05-11 2007-05-11
US93294607P 2007-05-11 2007-05-11
US99975907P 2007-05-11 2007-05-11
US60/932,946 2007-05-11
US60/999,758 2007-05-11
US60/999,759 2007-05-11
US92149107P 2007-05-15 2007-05-15
US93806307P 2007-05-15 2007-05-15
US60/938,063 2007-05-15
US60/921,491 2007-05-15
US93846607P 2007-05-17 2007-05-17
US60/938,466 2007-05-17
US94070207P 2007-05-30 2007-05-30
US60/940,702 2007-05-30

Publications (2)

Publication Number Publication Date
WO2008140989A2 WO2008140989A2 (en) 2008-11-20
WO2008140989A3 true WO2008140989A3 (en) 2009-03-05

Family

ID=41462250

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2008/062680 WO2008140989A2 (en) 2007-05-11 2008-05-05 Medical devices and procedures for assessing a lung and treating chronic obstructive pulmonary disease

Country Status (2)

Country Link
EP (1) EP2146653A2 (en)
WO (1) WO2008140989A2 (en)

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US8317808B2 (en) 2008-02-18 2012-11-27 Covidien Lp Device and method for rolling and inserting a prosthetic patch into a body cavity
US9034002B2 (en) 2008-02-18 2015-05-19 Covidien Lp Lock bar spring and clip for implant deployment device
US9398944B2 (en) 2008-02-18 2016-07-26 Covidien Lp Lock bar spring and clip for implant deployment device
US9833240B2 (en) 2008-02-18 2017-12-05 Covidien Lp Lock bar spring and clip for implant deployment device
US8808314B2 (en) 2008-02-18 2014-08-19 Covidien Lp Device and method for deploying and attaching an implant to a biological tissue
US9301826B2 (en) 2008-02-18 2016-04-05 Covidien Lp Lock bar spring and clip for implant deployment device
US9393002B2 (en) 2008-02-18 2016-07-19 Covidien Lp Clip for implant deployment device
US9393093B2 (en) 2008-02-18 2016-07-19 Covidien Lp Clip for implant deployment device
US9044235B2 (en) 2008-02-18 2015-06-02 Covidien Lp Magnetic clip for implant deployment device
EP2247245B1 (en) 2008-02-18 2017-06-28 Covidien LP A device for deploying and attaching a patch to a biological tissue
WO2010046893A1 (en) 2008-10-20 2010-04-29 Polytouch Medical Ltd. A device for attaching a patch to a biological tissue
CA2769666C (en) 2009-08-17 2018-02-13 Arie Levy Means and method for reversibly connecting an implant to a deployment device
US8906045B2 (en) 2009-08-17 2014-12-09 Covidien Lp Articulating patch deployment device and method of use
US9119606B2 (en) 2013-01-21 2015-09-01 Ethicon, Inc. Sealant delivery device for anastomotic stapler
US10245034B2 (en) * 2015-08-31 2019-04-02 Ethicon Llc Inducing tissue adhesions using surgical adjuncts and medicants
US10569071B2 (en) 2015-08-31 2020-02-25 Ethicon Llc Medicant eluting adjuncts and methods of using medicant eluting adjuncts

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