# US 11,896,523 B2 · Devices and methods for targeted delivery of a substance

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- Number: US 11,896,523 B2
- Document ID: US11896523B2
- Status: Granted
- Kind: B2
- Application number: 17/946,644
- Filed: 2022-09-16
- Published: 2023-01-19
- Granted: 2024-02-13
- Earliest claimed: 2018-07-19
- Assignees: Sanulus Medical, LLC
- Applicants: Sanulus Medical, LLC
- Inventors: John S. Pollack; William R. Voss
- Web page: https://patentgrep.com/patent/US11896523B2

## CPC

- A61B 18/20: using laser
- A61B 17/00491: {Surgical glue applicators}
- A61F 9/0008: {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)}
- A61F 9/0017: {implantable in, or in contact with, the eye, e.g. ocular inserts}
- A61F 9/00727: {Apparatus for retinal reattachment}
- A61B 18/22: the beam being directed along or through a flexible conduit, e.g. an optical fibre; {Couplings or} hand-pieces therefor
- A61B 2017/00336: {with a protective sleeve, e.g. retractable or slidable}
- A61B 2017/005: {hardenable using external energy source, e.g. laser, ultrasound}
- A61B 2017/00951: {adhesive}
- A61B 2018/00595: {Cauterization}
- A61B 2090/306: {using optical fibres}
- A61B 2090/3966: {Radiopaque markers visible in an X-ray image}
- A61F 9/007: Methods or devices for eye surgery
- A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D)
- 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 (dental prosthetics A61C)

## Abstract

Devices, systems and methods for applying a bioadhesive substance to an internal surface of the eye, such as the retina, can include an outer sleeve having a proximal end, a distal end, a passageway extending along a length of the elongate body and an opening at the distal end of the elongate body, an applicator tip including an elongate body having a proximal end and a distal end, an applicator portion coupled with the distal end of the elongate body, and a substance supply lumen extending along a length of the device through which a bioadhesive substance can pass so that the bioadhesive substance can be applied to at least the applicator portion of the applicator tip. Some embodiments of the device can also have a source of the bioadhesive substance in fluid communication with at least the substance supply lumen.

## Claims

### Claim 1

A method of treating eye tissue, comprising:
advancing a device into an eye;
contacting a surface of the eye with a bioadhesive substance on the device, the bioadhesive substance on the device being in the form of a bubble wherein the bioadhesive substance surrounds a gas;
transferring the bioadhesive substance from the device to the surface of the eye without the application of a patch such that the bioadhesive substance covers an entirety of the eye tissue within a retinal defect.

### Claim 2 (depends on 1)

The method of claim 1, further comprising overlapping intact retinal tissue in a margin adjacent a border of the retinal defect with the bioadhesive substance.

### Claim 3 (depends on 1)

The method of claim 1, wherein the bioadhesive substance is applied to retinal tissue within the retinal defect.

### Claim 4 (depends on 3)

The method of claim 3, wherein the bioadhesive substance is applied to bare intact sclera tissue within the retinal defect.

### Claim 5 (depends on 1)

The method of claim 1, wherein the bioadhesive substance is applied to bare intact sclera tissue within the retinal defect.

### Claim 6 (depends on 1)

The method of claim 1, further comprising brushing the bubble against the surface of the eye.

### Claim 7 (depends on 1)

The method of claim 1, further comprising pressing the bubble into contact with the surface of the eye.

### Claim 8 (depends on 1)

The method of claim 1, wherein the device is configured for use in any orientation.

### Claim 9 (depends on 1)

The method of claim 1, wherein the bioadhesive substance on the device when the bioadhesive substance contacts the surface of the eye has a larger profile than the device when the device is configured for advancement into the eye.

### Claim 10 (depends on 1)

The method of claim 1, wherein the bioadhesive substance completely surrounds the gas.

### Claim 11 (depends on 1)

The method of claim 1, wherein the gas comprises air.

### Claim 12 (depends on 1)

The method of claim 1, wherein the bubble is formed by applying a layer of the bioadhesive substance onto a distal end of the device.

### Claim 13 (depends on 12)

The method of claim 12, further comprising introducing the bioadhesive substance to the distal end of the device through a bioadhesive pathway defined by the device.

### Claim 14 (depends on 12)

The method of claim 12, wherein the layer of the bioadhesive substance is applied onto a rim at the distal end of the device, the rim having a flat, circumferential face.

### Claim 15 (depends on 14)

The method of claim 14, further comprising introducing the gas through an exit port circumvented by the rim.

### Claim 16 (depends on 15)

The method of claim 15, wherein the bioadhesive substance covers the exit port.

### Claim 17 (depends on 12)

The method of claim 12, further comprising introducing the gas to the layer of the bioadhesive substance.

### Claim 18 (depends on 17)

The method of claim 17, further comprising introducing the gas through an expansion gas passageway defined by the device.

### Claim 19 (depends on 1)

The method of claim 1, further comprising introducing the bioadhesive substance through a bioadhesive pathway defined by the device, and introducing the gas through an expansion gas passageway defined by the device, the expansion gas passageway being separate from the bioadhesive pathway.

### Claim 20 (depends on 19)

The method of claim 19, wherein the bioadhesive pathway surrounds the expansion gas passageway.
