Apparatus and methods for treating excess intraocular fluid

Patent metadata

Field	Value
Publication number	US-9655779-B2
Application number	US-201514819286-A
Country	US
Kind code	B2
Filing date	Aug 5, 2015
Priority date	Jan 14, 2011
Publication date	May 23, 2017
Grant date	May 23, 2017

Abstract

An ocular drainage system is provided for treating diseases that produce elevated intraocular pressures, such as glaucoma, wherein the system includes an implantable device and an external control unit. The implantable device includes a non-invasively adjustable valve featuring at least one deformable tube and a disk rotatably mounted within a housing, such that rotation of the disk using the external control unit causes the disk to apply a selected amount of compression to the deformable tube, thereby adjusting the fluidic resistance of the deformable tube and regulating the intraocular pressure.

First claim

What is claimed is:

1. A method of adjusting intraocular pressure within an eye, the method comprising:
introducing aqueous humor into an inlet of a deformable tube disposed within a circumferential groove extending between an inlet port and an outlet port of a housing of an implantable device implanted on or within an exterior layer of the eye so that the deformable tube is in communication with the aqueous humor in an anterior chamber of the eye;
draining the aqueous humor through the deformable tube at a first drainage rate caused by application of a compressive force on the deformable tube by a disk eccentrically mounted within the housing, the disk positioned at a first stationary position along an arc; and
moving the disk within the housing to a second stationary position along the arc to adjust an angular orientation of the disk within the housing such that an adjusted compressive force is applied to the deformable tube causing aqueous humor to move through the deformable tube at a second drainage rate, different from the first drainage rate.

2. The method of claim 1 , wherein the second stationary position is 180 or less along the arc from the first stationary position.

3. The method of claim 1 , wherein moving the disk comprises non-invasively moving the disk.

4. The method of claim 3 , wherein the disk is non-invasively moved using an external control unit.

5. The method of claim 4 , further comprising measuring the angular orientation of the disk prior to moving the external control unit.

6. The method of claim 5 , further comprising displaying a measured angular orientation of the disk.

7. The method of claim 4 , wherein the disk is magnetic and the external control unit comprises a magnet, and non-invasively moving the disk further comprises coupling the magnetic field of the magnet to the magnetic field of the disk.

8. The method of claim 4 , wherein the external control unit comprises a magnetic sensor, the method further comprising measuring, via the magnetic sensor, and displaying the angular orientation of the disk prior to moving the external control unit.

9. The method of claim 1 , further comprising a step of measuring intraocular pressure within the eye.

10. An ocular drainage system for the treatment of excess fluid within an eye, the system comprising:
a housing comprising an inlet port and an outlet port and a portion defining a circumferential wove that extends therebetween the housing configured to be implanted on or within an exterior layer of the eye;
at least one deformable tube disposed within the groove to provide fluid communication between the inlet port and the outlet port, the deformable tube having at least one lumen; and
a disk eccentrically mounted within the housing, the disk configured to move from a first stationary position along an arc, wherein the disk applies a compressive force on the deformable tube to permit fluid to drain through the deformable tube at a first drainage rate, to a second stationary position along the arc, wherein the disk applies an adjusted compressive force on the deformable tube to permit fluid to drain through the deformable tube at a second drainage rate different from the first drainage rate.

11. The ocular drainage system of claim 10 , wherein the second stationary position is 180° or less along the arc from the first stationary position in a clockwise or counterclockwise manner.

12. The ocular drainage system of claim 10 , wherein the inlet port further comprises a nozzle configured to pass through a wall of the eye to communicate with aqueous humor in an anterior chamber of the eye.

13. The ocular drainage system of claim 10 , further comprising a magnet configured to rotate the disk from the first stationary position to the second stationary position, and
wherein, optionally, the implantable housing further comprises a circuit.

14. The ocular drainage system of claim 10 , wherein the implantable housing is adapted to be implanted under a scleral flap,
wherein the outlet port is configured so that fluid exits the outlet port beneath the scleral flap, and
wherein the outlet port comprises a plurality of holes disposed in the deformable tube or the outlet port is configured to be connected to a Seton tube, or both.

15. The ocular drainage system of claim 10 , further comprising a ball bearing interposed between the disk and the deformable tube.

16. The ocular drainage system of claim 10 , wherein the groove is located at a non-uniform radial distance from the disk.

17. The ocular drainage system of claim 10 , further comprising an external control unit configured to non-invasively move the disk from the first stationary position to the second stationary position in a clockwise or counterclockwise manner via magnetic coupling between the external control unit and the disk.

18. The ocular drainage system of claim 10 , wherein the external control unit further comprises a sensor, the system further comprising a processor and display unit for displaying an output of the sensor.

19. The ocular drainage system of claim 10 , wherein the disk is configured to move to additional stationary positions along the arc.

Assignees

• École Polytechnique Fédérale de Lausanne
• Ecole Polytechnique Fed De Lausanne (Epfl)

Inventors

• Bigler Stéphane
• Stergiopulos Nikolaos

Classifications

• A61F9/00

  Methods 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 (caps with means for protecting the eyes A42B1/0181; visors for helmets A42B3/22; eye baths A61H35/02; sunglasses or goggles having the same features as spectacles G02C) · CPC title

• A61F9/00781 Primary

  Apparatus for modifying intraocular pressure, e.g. for glaucoma treatment (drainage implants in general A61M27/002) · CPC title

• A61M27/002

  Implant devices for drainage of body fluids from one part of the body to another (intraocular A61F9/00781; middle ear A61F11/202) · CPC title

• A61F9/00736

  Instruments for removal of intra-ocular material or intra-ocular injection, e.g. cataract instruments (A61F9/008 takes precedence) · CPC title

• A61F9/0008

  Introducing ophthalmic products into the ocular cavity or retaining products therein (putting in contact lenses A61F9/0061; introducing or retaining media in cavities of the body in general A61M31/00) · CPC title