Glaucoma Drainage Devices Including Vario-Stable Valves and Associated Systems and Methods

Abstract

Glaucoma drainage devices including vario-stable valves and associated systems and methods are disclosed. A glaucoma drainage device includes a drainage lumen and a valve system coupled to the drainage lumen to control the flow of fluid through the drainage lumen. The valve system includes an adjustable valve with a diaphragm that is in communication with the drainage lumen and is movable to occupy varying amounts of the drainage lumen. In some embodiments, the valve system is maintained in a desired position without the use of power such that power is only needed when changing a position of the adjustable valve.

1 . A glaucoma drainage device comprising:
 a drainage lumen;   a valve system coupled to the drainage lumen, the valve system including:   an adjustable valve having:   a housing defining a cavity; and   a diaphragm bounding at least one side of the cavity, the diaphragm in communication with the drainage lumen, the diaphragm movable between a first position that occupies a first amount of the drainage lumen and a second position that occupies a second amount of the drainage lumen, the second amount being greater than the first amount; and   a fluid reservoir in fluid communication with the cavity of the adjustable valve;   a first check valve positioned between the fluid reservoir and the cavity of the adjustable valve along a first fluid passageway, the first check valve preventing fluid flow from the fluid reservoir to the cavity of the adjustable valve; and   a second check valve positioned between the fluid reservoir and the cavity of the adjustable valve along a second fluid passageway, the second check valve preventing fluid flow from the cavity of the adjustable valve to the fluid reservoir.   
     
     
         2 . The glaucoma drainage device of  claim 1 , wherein the valve system further includes an actuator for controlling a flow of fluid between the fluid reservoir and the cavity of the adjustable valve. 
     
     
         3 . The glaucoma drainage device of  claim 2 , wherein the actuator comprises a voltage source and a plurality of electrodes. 
     
     
         4 . The glaucoma drainage device of  claim 3 , wherein the plurality of electrodes consists of two electrodes. 
     
     
         5 . The glaucoma drainage device of  claim 3 , wherein the actuator comprises an actuator fluid and a bubble-generating system configured to generate bubbles by converting at least a portion of the actuator fluid to a gas. 
     
     
         6 . The glaucoma drainage device of  claim 5 , wherein the pair of electrodes are positioned within the fluid reservoir. 
     
     
         7 . The glaucoma drainage device of  claim 3 , wherein one of the two electrodes is positioned within the fluid reservoir and the other of the two electrodes is positioned outside of the fluid reservoir. 
     
     
         8 . The glaucoma drainage device of  claim 7 , wherein the other of the two electrodes is positioned within the cavity of the adjustable valve. 
     
     
         9 . The glaucoma drainage device of  claim 3 , wherein the fluid reservoir is formed of a material that defines a constant volume cavity during operation. 
     
     
         10 . The glaucoma drainage device of  claim 3 , wherein the fluid reservoir is formed of a flexible material that defines a variable volume cavity during operation. 
     
     
         11 . The glaucoma drainage device of  claim 10 , further comprising:
 an electro-kinetic membrane positioned between the fluid reservoir and the cavity of the adjustable valve.   
     
     
         12 . The glaucoma drainage device of  claim 11 , wherein an electro-kinetic fluid is received within the fluid reservoir and the cavity of the adjustable valve. 
     
     
         13 . The glaucoma drainage device of  claim 2 , further comprising:
 first pressure sensor configured for positioning in fluid communication with an anterior chamber of an eye; and   a second pressure sensor configured for positioning in fluid communication with a drainage location;   wherein readings from the first pressure sensor and the second pressure sensor are utilized to control the actuator.   
     
     
         14 . The glaucoma drainage device of  claim 13 , further comprising:
 a processor in communication with the first and second pressure sensors and the actuator.   
     
     
         15 . The glaucoma drainage device of  claim 2 , further comprising:
 a first pressure sensor configured for positioning in fluid communication with an anterior chamber of an eye; and   a second pressure sensor configured for positioning remote from the first pressure sensor such that the second pressure sensor measures or approximates atmospheric pressure;   wherein readings from the first pressure sensor and the second pressure sensor are utilized to control the actuator   
     
     
         16 . The glaucoma drainage device of  claim 15 , further comprising:
 a processor in communication with the first and second pressure sensors and the actuator.   
     
     
         17 . The glaucoma drainage device of  claim 15 , wherein the second pressure sensor is sized and shaped for positioning in a subconjunctival space of the eye. 
     
     
         18 . The glaucoma drainage device of  claim 2 , further comprising:
 a first pressure sensor configured for positioning in fluid communication with a drainage location; and   a second pressure sensor configured for positioning remote from the first pressure sensor such that the second pressure sensor measures or approximates atmospheric pressure;   wherein readings from the first pressure sensor and the second pressure sensor are utilized to control the actuator.   
     
     
         19 . The glaucoma drainage device of  claim 18 , further comprising:
 a processor in communication with the first and remote pressure sensors and the actuator.   
     
     
         20 . The glaucoma drainage device of  claim 18 , wherein the second pressure sensor is sized and shaped for positioning in a subconjunctival space of the eye. 
     
     
         21 . The glaucoma drainage device of  claim 1 , wherein the adjustable valve is arranged as a boss valve. 
     
     
         22 . The valve system of  claim 1 , wherein at least one of the first and second check valves is a converging pathway. 
     
     
         23 . The valve system of  claim 1 , wherein at least one of the first and second check valves is a diverging pathway. 
     
     
         24 . The valve system of  claim 1 , wherein the valve system is configured to maintain the diaphragm in a desired position after actuation of an actuator configured to move the diaphragm between the first and second positions has ceased. 
     
     
         25 . The valve system of  claim 1 , wherein the drainage lumen and valve system are configured to pump aqueous humor from an anterior chamber of an eye. 
     
     
         26 . The valve system of  claim 25 , wherein the valve system is configured to be activated when in the vicinity of an external power source and deactivated when not in the vicinity of an external power source. 
     
     
         27 . A method of controlling intraocular pressure of an eye of a patient, the method comprising:
 obtaining pressure readings from a plurality of pressure sensors;   determining a desired position of a diaphragm of an adjustable valve based on the obtained pressure readings;   actuating an actuator to cause a flow of fluid between a cavity of the adjustable valve and a fluid reservoir to adjust the position of the diaphragm to the desired position; and   ceasing actuation of the actuator, wherein the diaphragm is maintained in the desired position after actuation of the actuator has ceased.   
     
     
         28 . The method of  claim 27 , wherein the diaphragm is maintained in the desired position after actuation of the actuator has ceased by a pair of opposing check valves positioned between the cavity of the adjustable valve and the fluid reservoir. 
     
     
         29 . The method of  claim 27 , wherein the obtained pressure readings include at least one of the pressure readings selected from the group consisting of:
 a pressure within an anterior chamber of an eye;   a pressure within a drainage location spaced from the anterior chamber of the eye; and   an atmospheric pressure.   
     
     
         30 . The method of  claim 29 , wherein the at least one of pressure readings includes the atmospheric pressure and wherein the atmospheric pressure is obtained from a pressure sensor located in a subconjunctival area of the eye. 
     
     
         31 . The method of  claim 27 , wherein the desired position is any position within a subset of positions of a full range of positions of the diaphragm, the subset of positions defining a desired range of positions for the diaphragm based on the obtained pressure readings. 
     
     
         32 . The method of  claim 27 , wherein the desired position is a specific position within the full range of positions of the diaphragm.