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US20050178389A1 Expired / Lapsed US ⏱️ 0.0 years remaining

Disease indications for selective endobronchial lung region isolation

Assignee: Pulmonx Corp
•
Filing: 2005-01-26
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Granted: —
•
Expires: 2025-01-26
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Abstract

Abstract Disclosed are various disease indications and treatment methods that benefit from selective lung region isolation. A lung region is bronchially isolated by regulating the flow of fluid to and from the lung region, such as by implanting one or more bronchial isolation devices into one or more bronchial passageways that feed air to the lung region. The bronchial isolation devices can comprise, for example, one-way valves, two-way valves, occluders or blockers, ligating clips, glues, sealants, and sclerosing agents.

Inventors

  • 👤 David Shaw
  • 👤 John McCutcheon
  • 👤 Antony Fields

Bibliographic Details

Application Number —
Jurisdiction US
Data Source google_patents
Last Synchronized 2026-10-23 04:07
CPC Classifications
A; A61; A61F; A61F2/00; A61F2/02; A61F2/04; A61B; A61B17/00; A61B17/12; A61B17/12022; A61B17/12027; A61B17/12036; A61B17/12099; A61B17/12104; A61B17/12131; A61B17/12159; A61F2/24; A61F2/2476; A61B17/12168; A61B17/12172; A61F2/82; A61F2002/043

Claims Analysis

Total Claims: 30
Claim 1
Independent Claim 26 words
1 . A method of treating pulmonary hypertension in a human or mammal comprising blocking fluid flow in a bronchial passageway sufficiently to reduce pulmonary hypertension.
Claim 2
Dependent Claim 26 words
1 . A method of treating pulmonary hypertension in a human or mammal comprising blocking fluid flow in a bronchial passageway sufficiently to reduce pulmonary hypertension.
Claim 3
Dependent Claim 41 words
2 . The method of claim 1 , wherein blocking fluid flow in a bronchial passageway sufficiently to reduce pulmonary hypertension comprises delivering a therapeutically effective quantity of a fluid-blocking material to one or more bronchial passageways to reduce pulmonary hypertension.
Claim 4
Dependent Claim 39 words
3 . A method of treating pulmonary hypertension in a human or mammal comprising: assessing a level of pulmonary hypertension of a patient; and reducing fluid flow into a selected region of a lung until pulmonary hypertension is reduced.
Claim 5
Dependent Claim 39 words
3 . A method of treating pulmonary hypertension in a human or mammal comprising: assessing a level of pulmonary hypertension of a patient; and reducing fluid flow into a selected region of a lung until pulmonary hypertension is reduced.
Claim 6
Dependent Claim 39 words
4 . The method of claim 3 , wherein reducing fluid flow into a selected region of a lung until pulmonary hypertension is reduced comprises blocking fluid flow through a lung passageway until the level of pulmonary hypertension decreases.
Claim 7
Dependent Claim 41 words
5 . The method of claim 3 , wherein reducing fluid flow into a selected region of a lung until pulmonary hypertension is reduced comprises redirecting fluid flow away from a selected region of a lung until pulmonary hypertension is reduced.
Claim 8
Dependent Claim 54 words
6 . The method of claim 3 , wherein reducing fluid flow into a selected region of a lung until pulmonary hypertension is reduced comprises placing a blocking element in a bronchial passageway communicating with the lung region, the blocking element inhibiting fluid flow into the lung region without collapsing the target lung region.
Claim 9
Dependent Claim 48 words
7 . A method of reducing pulmonary hypertension in a patient comprising: assessing pulmonary function; comparing the pulmonary function to an eligibility threshold; and if pulmonary function is higher than the eligibility threshold, blocking fluid flow into a selected region of the lung; wherein pulmonary hypertension is reduced.
Claim 10
Dependent Claim 48 words
7 . A method of reducing pulmonary hypertension in a patient comprising: assessing pulmonary function; comparing the pulmonary function to an eligibility threshold; and if pulmonary function is higher than the eligibility threshold, blocking fluid flow into a selected region of the lung; wherein pulmonary hypertension is reduced.
Claim 11
Dependent Claim 63 words
8 . A method of improving lung function of a patient comprising: measuring a lung function indicator to obtain an initial value; comparing the initial value to a threshold value; and if the initial value is higher than the threshold value, blocking fluid flow into one or more regions of the lung sufficiently to raise the lung function indicator above the initial value.
Claim 12
Dependent Claim 63 words
8 . A method of improving lung function of a patient comprising: measuring a lung function indicator to obtain an initial value; comparing the initial value to a threshold value; and if the initial value is higher than the threshold value, blocking fluid flow into one or more regions of the lung sufficiently to raise the lung function indicator above the initial value.
Claim 13
Dependent Claim 60 words
9 . A method of treating low carbon monoxide diffusing capacity of a lung (DLCO) in a patient comprising: measuring an initial DLCO; comparing the initial DLCO to a threshold DLCO; and if the initial DLCO is higher than the threshold DLCO, blocking fluid flow into one or more regions of the lung sufficiently to achieve an increase in DLCO.
Claim 14
Dependent Claim 60 words
9 . A method of treating low carbon monoxide diffusing capacity of a lung (DLCO) in a patient comprising: measuring an initial DLCO; comparing the initial DLCO to a threshold DLCO; and if the initial DLCO is higher than the threshold DLCO, blocking fluid flow into one or more regions of the lung sufficiently to achieve an increase in DLCO.
Claim 15
Dependent Claim 45 words
10 . A method of treating low carbon monoxide diffusing capacity of a lung (DLCO) in a patient comprising blocking fluid flow into one or more regions of the lung to achieve an increase in DLCO without collapsing or removing the regions of the lung.
Claim 16
Dependent Claim 45 words
10 . A method of treating low carbon monoxide diffusing capacity of a lung (DLCO) in a patient comprising blocking fluid flow into one or more regions of the lung to achieve an increase in DLCO without collapsing or removing the regions of the lung.
Claim 17
Dependent Claim 51 words
11 . A method of treating tuberculosis, comprising: bronchially isolating a lung region to reduce the delivery of oxygen to the lung region and deprive M. tuberculosis bacillus of oxygen in the lung region; and in combination with bronchially isolating the lung region, administering a chemotherapeutic drug to the lung region.
Claim 18
Dependent Claim 51 words
11 . A method of treating tuberculosis, comprising: bronchially isolating a lung region to reduce the delivery of oxygen to the lung region and deprive M. tuberculosis bacillus of oxygen in the lung region; and in combination with bronchially isolating the lung region, administering a chemotherapeutic drug to the lung region.
Claim 19
Dependent Claim 16 words
12 . The method of claim 12 , wherein the chemotherapeutic drug comprises isoniazid or rifampin.
Claim 20
Dependent Claim 33 words
13 . The method of claim 12 , wherein bronchially isolating a lung region comprises implanting one or more bronchial isolation devices into a bronchial passageway that feeds fluid to the lung region.
Claim 21
Dependent Claim 38 words
14 . The method of claim 12 , wherein the bronchial isolation device comprises a one-way valve device that prevent gas from flowing in an inhalation direction and permits gas and mucus to flow in an exhalation direction.
Claim 22
Dependent Claim 44 words
15 . A method of treating an air leak in a lung of a patient, comprising: identifying at least one bronchial passageway that provides airflow to a region of the lung that contains the air leak; blocking fluid flow through the identified bronchial passageway.
Claim 23
Dependent Claim 44 words
15 . A method of treating an air leak in a lung of a patient, comprising: identifying at least one bronchial passageway that provides airflow to a region of the lung that contains the air leak; blocking fluid flow through the identified bronchial passageway.
Claim 24
Dependent Claim 40 words
16 . The method of claim 15 , wherein blocking fluid flow through the identified bronchial passageway comprises implanting one or more bronchial isolation devices into at least one bronchial passageway that provides airflow to the region of the lung.
Claim 25
Dependent Claim 17 words
17 . The method of claim 16 , wherein the bronchial isolation device comprises a one-way valve.
Claim 26
Dependent Claim 35 words
18 . The method of claim 15 , wherein blocking fluid flow through the identified bronchial passageway comprises blocking fluid flow through a plurality bronchial passageways that provides airflow to the region of the lung.
Claim 27
Dependent Claim 51 words
19 . The method of claim 15 , wherein identifying at least one bronchial passageway comprises using a balloon catheter to successively block airflow through bronchial passageways that provide airflow to the region of the lung until an indication is observed that air is no longer flowing through the chest drain.
Claim 28
Dependent Claim 38 words
20 . The method of claim 15 , wherein identifying at least one bronchial passageway comprises: injecting a visible dye into a pleural space of the lung; monitoring the bronchial passageways of the lung for expectoration of dye.
Claim 29
Dependent Claim 18 words
21 . The method of claim 20 , wherein the monitoring step is performed while the patient coughs.
Claim 30
Dependent Claim 49 words
22 . The method of claim 15 , wherein identifying at least one bronchial passageway comprises: injecting a radiographic contrast into a pleural space of the lung; monitoring movement of the contrast through the lung with fluoroscopy or on CT scan during cough and normal breathing of the patient.

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