Intrauterine contraceptive device
A method for promoting contraception by placing a contraceptive device within a uterus without blocking fallopian tubes may involve advancing a distal end of a delivery device through a cervix, advancing the contraceptive device comprising an elongate shape memory member out of the distal end of the delivery device and into the uterus, and limiting inferior migration of the contraceptive device within the uterus. Inferior migration may be limited by allowing the contraceptive device to assume a shape, when subjected to pressure that tends to cause a downward migration of the device within the uterus, in which an expandable middle portion of the device is expanded to contact the inner wall of the uterus and thus limit the downward migration of the device.
1. A contraceptive device for focally delivering a substance in a uterus, the contraceptive device comprising:
only one elongate shape memory member, comprising:
two loops forming two tissue contact surfaces at opposing ends of the shape memory member, without any attached tissue contact members, wherein the two loops overlap when the contraceptive device is placed in a collapsed configuration inside a delivery device;
two arms extending toward one another from the two tissue contact surfaces;
two bends in the shape memory member, wherein the shape memory member crosses over itself at the two bends;
a middle portion extending down from the two bends; and
a spring portion at the bottom of the contraceptive device, formed as a loop at a midpoint between the two tissue contact surfaces; and
multiple copper sleeves disposed along a minority of a length of the shape memory member at locations to locally deliver copper, when the contraceptive device is placed in the uterus, to areas near the fallopian tubes and the cervical os, the multiple copper sleeves comprising:
at least one copper sleeve on a first arm of the two arms, near a first tissue contact surface of the two tissue contact surfaces;
at least one copper sleeve on a second arm of the two arms, near a second tissue contact surface of the two tissue contact surfaces; and
at least one copper sleeve on the middle portion, immediately above the spring portion.
2. The contraceptive device of claim 1 , wherein the contraceptive device comprises a shape memory wire comprising a material selected from the group consisting of Nitinol, other shape memory metal alloys and shape memory polymers.
3. The contraceptive device of claim 2 , wherein the shape memory wire has a diameter of between 0.015 inch and 0.017 inch.
4. The contraceptive device of claim 1 , wherein the contraceptive device is compressible into the collapsed configuration, wherein the contraceptive device in the collapsed configuration is completely contained within the delivery sheath, and wherein the delivery sheath has an inner diameter of between 2.70 mm and 2.90 mm.
5. The contraceptive device of claim 4 , further comprising the delivery sheath, wherein the delivery sheath includes a tapered distal end, and wherein the device is preloaded in the collapsed configuration completely within the delivery sheath prior to providing the device to a physician user.
6. The contraceptive device of claim 1 , further comprising at least one additional substance delivery member attached to the shape memory member, wherein the additional substance delivery member delivers a substance selected from the group consisting of hormones and other spermicidal agents.
7. The contraceptive device of claim 1 , wherein the multiple copper sleeves have a total surface area no more than 200 square millimeters.
8. The contraceptive device of claim 1 , further comprising a hormone delivery member disposed at a different location along the shape memory member from the locations of the multiple copper sleeves.