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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
Legal status (The legal status 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 status listed.)
Ceased
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
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Portaero Inc
Original Assignee
Portaero 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 Portaero Inc 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
Anticipated expiration legal-status Critical
Ceased legal-status Critical Current

Links

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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    • A61B17/00—Surgical instruments, devices or methods
    • 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. ventilators; 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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    • A61B17/3421—Cannulas
    • A61B17/3423—Access ports, e.g. toroid shape introducers for instruments or hands
    • 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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    • A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; 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. ventilators; Tracheal tubes
    • A61M16/10—Preparation of respiratory gases or vapours
    • A61M16/105—Filters
    • A61M16/106—Filters in a path
    • A—HUMAN NECESSITIES
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    • A61M39/00—Tubes, tube connectors, tube couplings, valves, access sites or the like, specially adapted for medical use
    • A61M39/02—Access sites
    • A61M39/0247—Semi-permanent or permanent transcutaneous or percutaneous access sites to the inside of the body
    • 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
    • A61M39/00—Tubes, tube connectors, tube couplings, valves, access sites or the like, specially adapted for medical use
    • A61M39/02—Access sites
    • 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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    • 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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    • A61M39/00—Tubes, tube connectors, tube couplings, valves, access sites or the like, specially adapted for medical use
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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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    • 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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    • A61M2039/0297—Semi-permanent or permanent transcutaneous or percutaneous access sites to the inside of the body at least part of it being inflatable, e.g. for anchoring, sealing or removing
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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
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Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Public Health (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Veterinary Medicine (AREA)
  • Pulmonology (AREA)
  • Anesthesiology (AREA)
  • Hematology (AREA)
  • Surgery (AREA)
  • Biophysics (AREA)
  • Pathology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Gastroenterology & Hepatology (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Emergency Medicine (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 Ceased 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
US93294607P 2007-05-11 2007-05-11
US99975907P 2007-05-11 2007-05-11
US99975807P 2007-05-11 2007-05-11
US60/999,759 2007-05-11
US60/932,946 2007-05-11
US60/999,758 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 Ceased 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
CA2715740C (en) 2008-02-18 2014-05-27 Polytouch Medical Ltd. A device and method for deploying and attaching a patch to a biological tissue
US9833240B2 (en) 2008-02-18 2017-12-05 Covidien Lp Lock bar spring and clip for implant deployment device
US9393093B2 (en) 2008-02-18 2016-07-19 Covidien Lp Clip for implant deployment device
US9034002B2 (en) 2008-02-18 2015-05-19 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
US8808314B2 (en) 2008-02-18 2014-08-19 Covidien Lp Device and method for deploying and attaching an implant to a biological tissue
US9044235B2 (en) 2008-02-18 2015-06-02 Covidien Lp Magnetic clip for implant deployment device
US8758373B2 (en) 2008-02-18 2014-06-24 Covidien Lp Means and method for reversibly connecting a patch to a patch deployment device
US9301826B2 (en) 2008-02-18 2016-04-05 Covidien Lp Lock bar spring and clip for implant deployment device
EP2792307B1 (en) 2008-10-20 2017-10-04 Covidien LP 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
CA2769707A1 (en) 2009-08-17 2011-02-24 Tyco Healthcare Group 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
US10569071B2 (en) 2015-08-31 2020-02-25 Ethicon Llc Medicant eluting adjuncts and methods of using medicant eluting adjuncts
US10245034B2 (en) 2015-08-31 2019-04-02 Ethicon Llc Inducing tissue adhesions using surgical adjuncts and medicants

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