Injector for implanting multiple pellet medicaments

• US 4,846,793 A
• Filed: 03/18/1987
• Issued: 07/11/1989
• Est. Priority Date: 03/18/1987
• Status: Expired due to Fees

• Current Assignee: Endocon, Inc.
• Original Assignee: Endocon, Inc.
• Inventors: Leonard, Robert J., Harman, S. Mitchell
• Primary Examiner(s): Schwadron, Martin P.
• Assistant Examiner(s): Flanigan, Allen J.
• Application Number:
  US07/027,565
• Time in Patent Office: 846 Days
• Field of Search: 221/244, 221/279, 221/22, 604/59-64, 604/51, 128/330, 206/536, 206/537
• US Class Current: 604/62
• CPC Class Codes: A61M 37/0069 Devices for implanting pellets, e.g. markers or solid medicaments for introducing of radioactive sources for interstitial radiation therapy, i.e. brachytherapy A61N5/1027

Abstract

A device for subcutaneous implantation of a plurality of solid, elongated medicinal pellets. The device includes a needle-like, hollow cannula within a barrel. The hub has a manually engageable knob thereon so that the hub and cannula may be easily moved with respect to the barrel with the thumb of one hand during the implantation process. An obturator extends from the rear of the barrel into the proximal end of the cannula. The obturator is composed of two or more sections which allow it to telescope during operation.

Claims

1. A device for inserting and positioning a plurality of elongate implants beneath the skin, comprising:

a long, hollow cannula adapted for insertion beneath the skin;

a hub to which the cannula is attached so as to define a continuous bore sufficiently long to contain said plurality of implants in an end-to-end relationship;

a hollow body within which said hub is slidably mounted so as to move between a proximal and a distal position along an axis parallel to the continuous bore;

an obturator having distal and proximal ends and including first and second sections which are connected so as to allow the first section to move with respect to the second section;

means for mounting the obturator first section to the hollow body so that the continuous bore slides over the obturator as the hub is moved between the distal and proximal positions;

the hub and obturator further including means for the hub to engaqe the obturator second section when the hub is first moved from the distal position to the proximal position and for moving the obturator second section in a distal direction to an extended position as the hub is subsequently moved from the proximal position to the distal position; and

means, operative after the hub has been moved from the proximal position to the distal position, for maintaining the obturator second section in said extended position as the hub is moved from the distal position towards the proximal position.

2. The apparatus of claim 1 wherein one of the obturator sections slides within the other section so that the obturator elongates by telescoping as the first section moves with respect to the second section.

3. The apparatus of claim 1 wherein the obturator first section is cylindrical and wherein the obturator second section includes a cylindrical bore adapted to slide over the obturator first section.

4. The apparatus of claim 3 wherein the obturator first section includes:

a cylindrical rod having a slit in the distal end thereof which forms at least two opposing legs;

means for applying a force to the opposing legs which tends to separate the legs;

and wherein the length of the obturator first and second sections is such that the legs are constrained within the bore of the obturator second section until the insertion means is moved from the proximal position to the distal position and are free, when the insertion means reaches the distal position, to extend outwardly beyond the cylindrical bore of the obturator second section thereby preventing the second section from moving in a proximal direction once the hub has been moved from the proximal to the distal position.

5. The apparatus of claim 1 wherein the body includes a cylindrical barrel having a closed proximal end to which the obturator first section is mounted and an open distal end.

6. The apparatus of claim 5 wherein the body includes a slot in the body having distal and proximal end walls and extending in a direction parallel to the continuous bore;

and wherein the hub includes a manually-actuable knob extending through said slot and being constructed so that the knob abuts the distal and proximal ends of the slot respectively when the hub is in the distal and proximal positions.

7. The apparatus of claim 6 wherein the hub includes a plastic cylindrical portion having a metal cannula attached thereto, said manually-actuable knob being formed as an extension of the hub.

8. The apparatus of claim 6 wherein the body includes an opening extending from the open distal end of the housing to the distal wall of the slot to allow the hub knob to be inserted within said slot.

9. The apparatus of claim 6 wherein the body includes a notch at the distal end of said slot and means associated with said notch for frictionally retaining the knob within the notch prior to use of said apparatus.

10. The apparatus of claim 3 wherein the obturator second section includes a cylinder with an enlarged outer diameter portion at the proximal end thereof;

and wherein the hub has a metal cannula attached thereto, the hub including a cylindrical opening parallel and contiguous to the cannula bore and of a diameter substantially the same as said enlarged outer diameter portion of the obturator second section, said opening having means adapted to slide over said enlarged outer diameter portion and for providing a frictional interface between the hub opening walls and the enlarged outer diameter portion;

whereby the obturator second section is moved distally with respect to the obturator first portion as the hub is moved from the proximal position to the distal position.

11. A device for inserting and positioning a plurality of elongate implants beneath the skin, comprising:

insertion means for defining a bore, the bore being sufficiently long to contain the plurality of implants in an end-to-end relationship and including a hollow cannula adapted for insertion beneath the skin, the cannula having a bore which forms at least a part of said insertion means bore;

an obturator having distal and proximal ends and including first and second sections which are connected so as to allow the first section to move with respect to the second section, the direction of movement being along an obturator axis;

body means for positioning the obturator with respect to the insertion means bore so that the distal end of the obturator lies within the insertion means bore and so that the obturator axis is substantially parallel with the insertion means bore;

means for moving the insertion means with respect to the obturator first section between a distal position and a proximal position;

the insertion means further including means for engaging the obturator second section when the insertion means is first moved from the distal position to the proximal position and for moving the obturator second section in a distal direction to an extended position as the insertion means is subsequently moved from the proximal position to the distal position; and

means, operative after the insertion means have been moved from the proximal position to the distal position, for maintaining the obturator second section in said extended position as the insertion means is moved from the distal position towards the proximal position; and

wherein the body means includes a hollow housing having a closed proximal end and an open distal end within which the insertion means is slidably mounted.

12. The apparatus of claim 11 wherein the means for moving includes:

a slot in said housing having distal and proximal end walls and extending in a direction parallel to the insertion means bore;

a manually-actuable knob extending through said slot and being constructed so that the knob abuts the distal and proximal end walls of the slot respectively when the insertion means is in the distal and proximal positions.

13. The apparatus of claim 12 wherein the insertion means further includes a plastic hub having a metal cannula attached thereto, the hub including a cylindrical opening parallel and contiguous to the cannula bore, said manually-actuable knob being formed as an extension of the hub.

14. The apparatus of claim 12 wherein the housing includes an opening extending from the open distal end of the housing to the distal wall of the slot to allow the insertion means knob to be inserted within said slot.

15. The apparatus of claim 12 wherein the housing includes a notch at the distal end of said slot and means associated with said notch for frictionally retaining the knob within the notch prior to use of said apparatus.

16. The apparatus of claim 14 wherein the obturator second section includes a cylinder with an enlarged outer diameter portion at the proximal end thereof;

and wherein the insertion means includes a hub having a metal cannula attached thereto, the hub including a cylindrical opening parallel and continuous to the cannula bore and of a diameter substantially the same as said enlarged outer diameter portion of the obturator second section, said openinq having means adapted to slide over said enlarged outer diameter portion and for providing a frictional interface between the hub opening walls and the enlarged outer diameter portion when the insertion means is moved to the proximal position;

whereby the obturator second section is moved distally with respect to the obturator first section as the insertion means is moved from the proximal position to the distal position.