Apparatus To Facilitate Implantation

• US 20080021552A1
• Filed: 07/30/2007
• Published: 01/24/2008
• Est. Priority Date: 10/09/2001
• Status: Abandoned Application

• Current Assignee: Shlomo Gabbay
• Original Assignee: Shlomo Gabbay
• Inventors: Gabbay, Shlomo
• Application Number:
  US11/830,020
• Publication Number:
  US 20080021552A1
• Time in Patent Office: Days
• US Class Current: 623/11.11
• CPC Class Codes: A61B 17/3421 Cannulas
• CPC Class Codes: A61B 17/3423 Access ports, e.g. toroid shape introducers for instruments or hands access sites for liquids A61M39/0247
• CPC Class Codes: A61B 2017/00243 cardiac
• CPC Class Codes: A61B 2017/00247 Making holes in the wall of the heart, e.g. laser Myocardial revascularization
• CPC Class Codes: A61B 2017/00278 Transorgan operations, e.g. transgastric
• CPC Class Codes: A61B 2017/0046 with a releasable handle; with handle and operating part separable
• CPC Class Codes: A61B 2017/3425 for internal organs, e.g. heart ports
• CPC Class Codes: A61B 2018/00392 Transmyocardial revascularisation
• CPC Class Codes: A61F 2/2436 Deployment by retracting a sheath

Abstract

An apparatus includes a flange, a sleeve having a sidewall that extends longitudinally from the flange and terminates in a distal end portion, and a structure for substantially preventing flow of fluid in at least one axial direction from the distal end portion toward the flange. The structure can have a substantially closed condition and an open condition.

Claims

1. A substantially biocompatible introducer apparatus, comprising:

a flange;

a sleeve having a sidewall that extends longitudinally from the flange and terminates in a tapered distal end portion; and

a structure operatively associated with the sleeve and configured for substantially preventing flow of fluid in at least one axial direction from the distal end portion toward the flange.

2. The apparatus of claim 1, wherein the structure comprises a valve secured to an inner periphery of the sleeve proximal the flange.

3. The apparatus of claim 2, wherein the valve comprises a plurality of flap members resiliently engaging each other such that the plurality of flap members re-engage each other when an elongate member is withdrawn from a passage defined by an interior of the sidewall of the sleeve.

4. The apparatus of claim 3, wherein the plurality of flap members are molded to the inner periphery of the flange.

5. The apparatus of claim 1, wherein the structure comprises a plug member insertable at least partially into the sleeve at an opening defined by a radially inner periphery of the flange.

6. The apparatus of claim 5, wherein the plug member further comprises external threads;

and

wherein the sleeve further comprises an internally threaded sidewall, the plug member being threaded into the internally threaded sidewall to prevent movement of fluid in the axial direction.

7. The apparatus of claim 6, wherein the plug member further comprises a central port for monitoring pressure at a distal side of the plug member.

8. The apparatus of claim 7, further comprising an elongate central access tube that extends longitudinally through the central port of the plug member and through the tapered distal end of the sleeve, the access tube include a mechanism that is positionable relative to the sleeve and configured to monitor pressure.

9. The apparatus of claim 1, further comprising an elongate central access tube that extends through the apparatus for monitoring pressure at a distal side of the structure.

10. The apparatus of claim 1, wherein the flange further comprises a radially extending, internally threaded aperture, the apparatus further comprising a handle threaded into the internally threaded aperture of the flange for facilitating insertion of the apparatus into a patient.

11. An implanter in combination with the apparatus of claim 1, the combination further comprising:

an implanter for discharging an article into a position within a patient, the implanter including an elongate member that terminates in a opening at a distal end thereof, at least a portion of the elongate member and the distal end being dimensioned and configured for axial passage through the sleeve of the apparatus.

16. The implantation system of claim 11, wherein the structure comprises jaw members extending axially from a generally cylindrical portion of the sidewall of the introducer apparatus, such that the jaw members define the distal end portion of the sleeve.

12. An implantation system comprising:

an implanter including an elongate member that terminates in a opening at a distal end thereof, the implanter being configured for discharging an article through the opening and into a position within a patient; and

an introducer apparatus configured for guiding the implanter through an interior of the introducer apparatus to the position within the patient, the introducer apparatus including a flange, a sleeve having a sidewall that extends longitudinally from the flange and terminates in a distal end portion, and a structure operatively associated with the sleeve,

the structure at least partially located within an interior of the introducer apparatus for substantially preventing flow of fluid in at least a first axial direction.

13. The implantation system of claim 12, wherein the structure comprises a valve secured to an inner periphery of the sidewall, the valve comprising a plurality of flap members resiliently engaging each other such that the flap members re-engage each other when the elongate member is withdrawn from a passage defined by the sidewall of the introducer apparatus.

14. The implantation system of claim 12, wherein the structure comprises an externally threaded plug member engaging threads disposed at an inner periphery of the flange.

15. The implantation system of claim 12, wherein the structure comprises an externally threaded plug member having a central aperture extending therethrough the plug member, the implantation system further comprising a mechanism that is positionable within the central aperture for monitoring pressure near a distal side of the plug member.

17. A system comprising:

means for discharging an article into a position within a patient;

means for guiding the discharging means to the position within the patient, the guiding means including a flange, a sleeve having a sidewall that extends longitudinally from the flange and terminates in a distal end portion, an elongate portion of the discharging means being insertable axially through at least a portion of the guiding means;

means for controlling axial flow of fluid through the guiding means; and

means for securing a handle member to the flange for facilitating insertion of the guiding means into the patient.

18. The system of claim 17, wherein the controlling means comprises a valve extending from an inner periphery of the sidewall of the sleeve proximal the flange, the valve including flap members resiliently engaging each other such that the flap members re-engage each other when the elongate portion of the discharging means is withdrawn from a passage defined by an interior of the sidewall of the sleeve.

19. The system of claim 17, wherein the controlling means prevents flow of fluid through the guiding means in at least one axial direction.

20. The system of claim 17, wherein the controlling means comprises means for plugging a passage defined by the sidewall of the sleeve, the plugging means disposed at an inner periphery of the flange in order to prevent movement of fluid in at least one axial direction.

21. The system of claim 17, further comprising means for monitoring pressure at a distal side of the guiding means.