Insulin dispenser for peritoneal cavity

• US 4,781,693 A
• Filed: 09/02/1983
• Issued: 11/01/1988
• Est. Priority Date: 09/02/1983
• Status: Expired due to Fees

• Current Assignee: Minntech Corporation
• Original Assignee: Minntech Corporation
• Inventors: Cosentino, Louis C., Fuller, Larry E., Martinez, Felix J.
• Primary Examiner(s): YASKO JR, JOHN D
• Application Number:
  US06/529,048
• Time in Patent Office: 1,887 Days
• Field of Search: 604/29, 604/49, 604/53, 604/175, 604/244, 604/256, 604/283, 604/415, 604/905, 604/86, 128/1 R
• US Class Current: 604/175
• CPC Class Codes: A61M 2039/0255 for access to the gastric or digestive system
• CPC Class Codes: A61M 2039/0273 for introducing catheters into the body
• CPC Class Codes: A61M 2039/0282 with implanted tubes connected to the port
• CPC Class Codes: A61M 2039/062 used with a catheter
• CPC Class Codes: A61M 2039/0633 the seal being a passive seal made of a resilient material with or without an opening
• CPC Class Codes: A61M 2039/0653 Perforated disc
• CPC Class Codes: A61M 2039/066 Septum-like element
• CPC Class Codes: A61M 2039/0686 comprising more than one seal
• CPC Class Codes: A61M 39/0247 Semi-permanent or permanent transcutaneous or percutaneous access sites to the inside of the body peritoneal dialysis catheters A61M1/285; tracheostomy devices A61M16/0465; measuring pressure within the body A61B5/03; colostomy devices A61F5/445; gastrotomy feeding tubes A61J15/0015; means for fixing a feeding tube outside of the body A61J15/0053
• CPC Class Codes: A61M 39/06 Haemostasis valves, i.e. gaskets sealing around a needle, catheter or the like, closing on removal thereof

Abstract

An implant device for introduction of insulin into the peritoneal cavity which permits a flexible catheter to be removed and replaced without invasive surgery. The catheter is passed through a substantially rigid percutaneous body and a distally extending catheter conduit which together form a continuous conduit from the body exterior through the peritoneal wall. A polytetrafluoroethylene polymer sleeve allows tissue ingrowth to secure the body to the epidermis. A polyethylene terephthalate portion of the sleeve provides tissue ingrowth to stabilize the implant and prevent extrusion from the dermis. The catheter is associated with the percutaneous tubular body so as to be removable and replaceable through the conduit thereformed after implantation. The catheter preferably terminates within the interior cavity of the percutaneous body and is sealed from the environment by means of a septum closure within the device cavity. A sponge saturated with antiseptic is fitted in the body recess above the septum and is closed off from the environment by a penetrable cap member. The saturated sponge prevents the introduction of bacteria into the peritoneum.

Claims

1. A percutaneous implant device for providing access to the peritoneal cavity comprising:

a substantially rigid, tubular percutaneous body of biologically compatible material which extends through the skin and peritoneum when implanted so as to provide means for accessing the peritoneal cavity through the interior of said device;

flexible, subcutaneous catheter means associated with said tubular percutaneous body for providing fluid communication between the body exterior and the peritoneal cavity;

porous tissue ingrowth means for anchoring the device to a patient'"'"'s body said porous tissue ingrowth means including a porus collar of polytetrafluoroethylene overlaying said tubular percutaneous body on the portion of said tubular body to be embedded within the epidermis and a porous collar of polyethylene terephthalate overlaying said tubular percutaneous body between said polytetrafluoroethylene collar and said catheter;

an elastomeric septum member occupying a portion of the tubular portion of said body, and means for holding said septum member in a sealed relationship within the interior of said tubular percutaneous body, said septum and said body defining an excutaneous cavity within the device;

sponge means within said excutaneous cavity for maintaining sterility when saturated with an antiseptic solution; and

a penetrable cap member adapted to be joined to said body for sealing said sponge means within said tubular percutaneous body of said device.

2. A percutaneous implant device for providing access to the peritoneal cavity comprising:

a substantially rigid, tubular percutaneous body of biologically compatible material which extends through the skin and peritoneum when implanted so as to provide means for accessing the peritoneal cavity through the interior of said device;

flexible, subcutaneous catheter means associated with said tubular percutaneous body for providing fluid communication between the body exterior and the peritoneal cavity;

porous tissue ingrowth means for anchoring the device to a patient'"'"'s body;

an elastomeric septum member occupying a portion of the tubular portion of said body, and means for holding said septum member in a sealed relationship within the interior of said tubular percutaneous body, said septum and said body defining an excutaneous cavity within the device;

sponge means within said excutaneous cavity for maintaining sterility when saturated with an antiseptic solution;

a penetrable cap member adapted to be joined to said body for sealing said sponge means within said tubular percutaneous body of said device; and

an insertion cap means is provided for pulling said device through a skin, said insertion cap means including a generally conical cap and a tube extending through the apex of said conical cap, said tube secured at one end to said tubular percutaneous body by a retaining ring and pressure plate.