Dr. De La Sierra graduated from the St. George's University School of Medicine, St. George's, Greneda in 2002. He works in Griffin, GA and specializes in Family Medicine and Emergency Medicine. Dr. De La Sierra is affiliated with Spalding Regional Hospital.
Drug formulations, devices and methods are provided to deliver biologically active substances to the eye. The formulations are delivered into scleral tissues adjacent to or into the suprachoroidal space without damage to the underlying choroid. One class of formulations is provided wherein the formulation is localized in the suprachoroidal space near the region into which it is administered. Another class of formulations is provided wherein the formulation can migrate to another region of the suprachoroidal space, thus allowing an injection in the anterior region of the eye in order to treat the posterior region.
Yair Alster - Palo Alto CA, US Cary J. Reich - Los Gatos CA, US Stephen Boyd - Murrieta CA, US David Sierra - Aptos CA, US Jose D. Alejandro - Sunnyvale CA, US K. Angela Macfarlane - Menlo Park CA, US Douglas Sutton - Pacifica CA, US
Assignee:
ForSight Labs, LLC - Menlo Park CA
International Classification:
A61F 9/00 A61M 35/00
US Classification:
604290, 604302
Abstract:
A therapeutic system comprises an ocular insert placed on a region outside an optical zone of an eye. The ocular insert comprises two structures: a first skeletal structure and a second cushioning structure. The first structure functions as a skeletal frame which maintains positioning of the implant along the anterior portion of the eye and provides support to the second, cushioning structure. This first structure maintains the attachment of the therapeutic system to the anterior portion of the eye for at least thirty days. In some embodiments the first structure remains a constant size and shape, e.g. a ring shape, a ring with haptics, or a curvilinear ring that is confined to and restrainingly engages the inferior and superior conjunctival fornices so as to retain the implant within the tear fluid and/or against the tissues of the eye.
Yair Alster - Menlo Park CA, US Cary J. Reich - Menlo Park CA, US K. Angela MacFarlane - Menlo Park CA, US Janelle Chang - Menlo Park CA, US Stephen Boyd - Menlo Park CA, US David Sierra - Menlo Park CA, US Jose D. Alejandro - Menlo Park CA, US Douglas Sutton - Menlo Park CA, US
International Classification:
A61B 17/00
US Classification:
600236
Abstract:
A comfortable insert comprises a retention structure sized for placement under the eyelids and along at least a portion of conjunctival sac of the upper and lower lids of the eye. The retention structure resists deflection when placed in the conjunctival sac of the eye and to guide the insert along the sac when the eye moves. The retention structure can be configured in many ways to provide the resistance to deflection and may comprise a hoop strength so as to urge the retention structure outward and inhibit movement of the retention structure toward the cornea. The insert may move rotationally with deflection along the conjunctival sac, and may comprise a retention structure having a cross sectional dimension sized to fit within folds of the conjunctiva. The insert may comprise a release mechanism and therapeutic agent to release therapeutic amounts of the therapeutic agent for an extended time.
Apparatus And Formulations For Suprachoridal Drug Delivery
Drug formulations, devices and methods are provided to deliver biologically active substances to the eye. The formulations are delivered into scleral tissues adjacent to or into the suprachoroidal space without damage to the underlying choroid. One class of formulations is provided wherein the formulation is localized in the suprachoroidal space near the region into which it is administered. Another class of formulations is provided wherein the formulation can migrate to another region of the suprachoroidal space, thus allowing an injection in the anterior region of the eye in order to treat the posterior region.
Apparatus And Formulations For Suprachoridal Drug Delivery
Stanley R. Conston - San Carlos CA, US David Sierra - Aptos CA, US
Assignee:
ISCIENCE INTERVENTIONAL CORPORATION - Menlo Park CA
International Classification:
A61F 9/00
US Classification:
604506
Abstract:
Drug formulations, devices and methods are provided to deliver biologically active substances to the eye. The formulations are delivered into scleral tissues adjacent to or into the suprachoroidal space without damage to the underlying choroid. One class of formulations is provided wherein the formulation is localized in the suprachoroidal space near the region into which it is administered. Another class of formulations is provided wherein the formulation can migrate to another region of the suprachoroidal space, thus allowing an injection in the anterior region of the eye in order to treat the posterior region.
Cell Separation Device And In-Line Orifice Mixer System
Abigail Freeman - Fremont CA Gerald G. Fuller - Palo Alto CA David H. Sierra - Atherton CA Stanley R. Conston - San Carlos CA Alan S. Michaels - Chestnut Hill MA
Assignee:
Cohesion Corporation - Palo Alto CA
International Classification:
A61M 3700
US Classification:
604191
Abstract:
A fluid separation device and in-line orifice mixer system is disclosed. The fluid separation device utilizes a syringe, which is used for obtaining a fluid sample such as blood, in a centrifugation device, and further utilizes the syringe as a source of a separated fluid portion for storage and transfer for subsequent applications. The syringe containing the separated portion source and a second syringe containing a second source are connected to the in-line orifice mixer device. The mixer device comprises a plurality of orifice walls each providing an orifice non-aligned with adjacent orifices to homogeneously mix the plurality of components. The mixer device may further comprise an exit orifice wall with one or more orifices for discharge of the homogeneous mixture.
Compositions Containing Thrombin And Microfibrillar Collagen And Methods For Preparation And Use Thereof
Jeffrey J. Prior - Redwood City CA Donald G. Wallace - Menlo Park CA David H. Sierra - Atherton CA Frank A. DeLustro - Belmont CA
Assignee:
Cohesion Technologies, Inc. - Palo Alto CA
International Classification:
A61K 3800
US Classification:
424 9463
Abstract:
The present invention relates to thrombin-containing hemostatic compositions, their preparation and use. In particular, it relates to hemostatic compositions comprising stabilized thrombin and microfibrillar collagen in an aqueous medium. In a preferred embodiment of the present invention, the compositions are used in a kit comprising two different components, one of which is autologous patient's plasma as the source of fibrinogen, and the other of which is the thrombin-containing composition which also contains microfibrillar collagen.
Collagen-Polymer Matrices With Differential Biodegradability
The current invention is a biomedical implant comprising a biomedical matrix material and a biodegradable porosifying agent. As the porosifying agent degrades in situ, an implant with an inter-connecting network is formed. The resultant mechanically stable implant allows for tissue and fluid influx into the matrix. The invention is also directed to a method for repair of mammalian tissue using the above-described implant.
South FloridaMemorial Healthcare System Entire career has been in the healthcare finance field with a focus on state and federal healthcare regulations governing payments & reimbursement.
de at the Paramount Theater. The event, which routinely sells out, features live versions of numbers from A Charlie Brown Christmas in addition to other Guaraldi classics. Michelle Schumann plays piano, Utah Hamrick thumps the bass, and David Sierra beats drums to these jazzy, holiday tunes.