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US5298018A Expired / Lapsed US ⏱️ 0.0 years remaining

Method for treating cardiovascular disease through adjunctive photodynamic therapy

Assignee: PDT Cardiovascular Inc
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Filing: 1992-08-14
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Granted: 1994-03-29
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Expires: 2012-08-14
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Abstract

Abstract Photodynamic Therapy (PDT) is used as an adjunctive or stand alone procedure for the treatment of cardiovascular disease. When used as an adjunctive therapy to Percutaneous Transluminal Coronary Angioplasty, laser angioplasty, atherectomy, stenting, or any other interventional or surgical procedure, it has been found that the treatment timing is critical to the success of the combined therapies. A photosensitizer is administered prior to the surgical or interventional procedure and then readministered after the procedure to maintain the photosensitizer concentration level in the atheromatous plaque and smooth muscle cells in the vicinity of the lesion for a period of about 5-18 days, the period in which cell proliferation can occur. The photosensitizer inhibits smooth muscle cell proliferation and, thus, minimizes or eliminates the possibility of re-stenosis. The photosensitizer is then illuminated at the end of this period, thereby lysing the atheromatous plaque and smooth muscles. The photosensitizer inhibits atheromatic smooth muscle cell proliferation.

Inventors

  • 👤 Hugh L. Narciso, Jr.

Bibliographic Details

Application Number —
Jurisdiction US
Data Source google_patents
Last Synchronized 2026-10-23 12:11
CPC Classifications
A; A61; A61N; A61N5/00; A61N5/06; A61N5/0613; A61N5/062; A61K; A61K31/00; A61K31/33; A61K31/555; A61N5/0601

Claims Analysis

Total Claims: 17
Claim 1
Independent Claim 90 words
A method for treatment of atherosclerosis comprising the steps of: administering an effective amount of a photosensitizing agent into a mammal such that the agent accumulates in atherosclerotic smooth muscle cells at a specific location and atherosclerotic plaque adjacent said cells; readministering said agent to prevent photosensitizing agent from being substantially cleared from said atherosclerotic smooth muscle cells for a period of at least about 5 days; and exposing the photosensitizing agent within said atherosclerotic smooth muscle cells and plaque to light such that said cells and plaque are lysed.
Claim 2
Independent Claim 90 words
A method for treatment of atherosclerosis comprising the steps of: administering an effective amount of a photosensitizing agent into a mammal such that the agent accumulates in atherosclerotic smooth muscle cells at a specific location and atherosclerotic plaque adjacent said cells; readministering said agent to prevent photosensitizing agent from being substantially cleared from said atherosclerotic smooth muscle cells for a period of at least about 5 days; and exposing the photosensitizing agent within said atherosclerotic smooth muscle cells and plaque to light such that said cells and plaque are lysed.
Claim 3
Dependent Claim 13 words
The method of claim 1 wherein said photosensitizing agent is Tin Ethyl Etiopurpurin.
Claim 4
Independent Claim 114 words
A method for treatment of atherosclerosis comprising the steps of: detecting atherosclerotic smooth muscle cells and plaque in a mammal; administering an effective amount of a photosensitizing agent into the mammal such that the agent accumulates in the atherosclerotic smooth muscle cells and plaque; widening the lumen of the vessel that has narrowed due to the accumulation of the atherosclerotic smooth muscle cells and plaque; and readministering said agent to prevent photosensitizing agent from being substantially cleared from the atherosclerotic smooth muscle cells for a period of at least about five days to essentially prevent growth factor released in the vicinity of said atherosclerotic smooth muscle cells from initiating atherosclerotic smooth muscle cell proliferation.
Claim 5
Independent Claim 114 words
A method for treatment of atherosclerosis comprising the steps of: detecting atherosclerotic smooth muscle cells and plaque in a mammal; administering an effective amount of a photosensitizing agent into the mammal such that the agent accumulates in the atherosclerotic smooth muscle cells and plaque; widening the lumen of the vessel that has narrowed due to the accumulation of the atherosclerotic smooth muscle cells and plaque; and readministering said agent to prevent photosensitizing agent from being substantially cleared from the atherosclerotic smooth muscle cells for a period of at least about five days to essentially prevent growth factor released in the vicinity of said atherosclerotic smooth muscle cells from initiating atherosclerotic smooth muscle cell proliferation.
Claim 6
Independent Claim 60 words
A method for treatment of atherosclerosis comprising the steps of: widening the lumen of a vessel that has narrowed due to accumulation of atheromatous plaque; and blocking the growth factor binding sites on the atherosclerotic smooth muscle cells injured during the widening step until growth factor is no longer released from the platelets in the vicinity of the injured cells.
Claim 7
Independent Claim 60 words
A method for treatment of atherosclerosis comprising the steps of: widening the lumen of a vessel that has narrowed due to accumulation of atheromatous plaque; and blocking the growth factor binding sites on the atherosclerotic smooth muscle cells injured during the widening step until growth factor is no longer released from the platelets in the vicinity of the injured cells.
Claim 8
Dependent Claim 21 words
The method of claim 4 wherein the blocking step is performed continuously for a period of at least about 5 days.
Claim 9
Dependent Claim 16 words
The method of claim 5 wherein the blocking step is commenced immediately after the widening step.
Claim 10
Dependent Claim 18 words
The method of claim 4 wherein the blocking step is continuous and commenced immediately after the widening step.
Claim 11
Dependent Claim 42 words
The method of claim 7 wherein the blocking step is accomplished by introducing an effective amount of a photosensitizing agent in the region of the vessel subject to the widening step such that the agent accumulates in the injured smooth muscle cells.
Claim 12
Dependent Claim 20 words
The method of claim 8 wherein the photosensitizing agent is administered such that photosensitizing agent accumulates in the atheromatous plaque.
Claim 13
Dependent Claim 32 words
The method of claim 9 further including the step of exposing the photosensitizing agent within the atherosclerotic smooth muscle cells and plaque to light such that said cells and plaque are lysed.
Claim 14
Dependent Claim 14 words
The method of claim 8 wherein the photosensitizing agent is a Tin Ethyl Etiopurpurin.
Claim 15
Dependent Claim 31 words
The method of claim 8 further including the step of exposing the photosensitizing agent within the atherosclerotic smooth muscle cells to light such that the atherosclerotic smooth muscle cells are lysed.
Claim 16
Dependent Claim 28 words
The method of claim 12 wherein the exposing step is commenced after growth factor is no longer released from the platelets in the vicinity of the injured cells.
Claim 17
Dependent Claim 22 words
The method of claim 13 wherein the exposing step is commenced within a range of about 5-16 days after the widening step.

References Cited (Backward Citations)

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US4512762A Cited
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US4886831A Cited
US5199951A Cited
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USPTO Annuity & Maintenance Windows

Annuity Stage Window Opens Payment Deadline Surcharge Period Until Estimated Fee Status
3.5 Years (Year 4) 1997-03-28 1997-09-27 1998-03-29 $2000.00 Window Closed / Lapsed
7.5 Years (Year 8) 2001-03-28 2001-09-27 2002-03-29 $3760.00 Window Closed / Lapsed
11.5 Years (Year 12) 2005-03-28 2005-09-27 2006-03-29 $7700.00 Window Closed / Lapsed

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