Implantable access port device and attachment system

• US 9,023,062 B2
• Filed: 04/17/2009
• Issued: 05/05/2015
• Est. Priority Date: 04/17/2008
• Status: Active Grant

• Current Assignee: Apollo Endosurgery US, Inc. (Boston Scientific Corporation)
• Original Assignee: Apollo Endosurgery, Inc. (Boston Scientific Corporation)
• Inventors: Franklin, Ethan, Birk, Janel A.
• Primary Examiner(s): Severson, Ryan
• Assistant Examiner(s): Papeika, Rachel S
• Application Number:
  US12/426,057
• Publication Number:
  US 20090264901A1
• Time in Patent Office: 2,209 Days
• Field of Search: 600/37, 600/184, 606/139, 606/140, 606/142, 606/157, 623/23.64, 623/23.65, 623/902, 623/23.72
• US Class Current: 606/139
• CPC Class Codes: A61B 17/064 Surgical staples, i.e. penetrating the tissue
• CPC Class Codes: A61B 17/068 Surgical staplers , e.g. containing multiple staples or clampsstaplers containing only one staple A61B17/10; magazines or containers for staples A61B17/105; for performing anastomosis A61B17/115; staplers in general B25C5/00
• CPC Class Codes: A61F 5/0056 using injection ports
• CPC Class Codes: A61F 5/0089 Instruments for placement or removal
• CPC Class Codes: A61M 2039/0223 having means for anchoring the subcutaneous access site
• CPC Class Codes: A61M 39/0208 Subcutaneous access sites for injecting or removing fluids transcutaneous access sites A61M39/0247; implantable infusion devices A61M5/14276

Abstract

A system for attaching an access port to bodily tissue includes an access port assembly and including an access port having a generally central axis. The access port assembly further includes an attachment mechanism structured to enable the access port to be attached, for example, to an abdominal muscle of a patient. The delivery tool includes a handle having a generally longitudinal axis and a delivery head structured to engage the access port assembly, and an activation mechanism for enabling deployment of the attachment mechanism when the delivery head is so engaged with the access port assembly. The delivery tool is configured such that the longitudinal axis of the handle is spaced apart from the generally central axis of the access port when the delivery head is so engaged with the access port assembly.

Claims

1. A system for attaching an access port to bodily tissue, the system comprising:

an access port assembly including;

i. an access port having a generally central axis and including a bottom, a sidewall and a needle penetrable septum; and

ii. an attachment mechanism structured to enable the access port to be attached to bodily tissue; and

a delivery tool including;

i. a delivery head structured to engage the access port assembly, the delivery head having a longitudinal sidewall extending parallel to the central axis when the delivery head engages the access port;

ii. a handle having a distal portion extending laterally away from the longitudinal sidewall of the delivery head and having a moveable trigger extending from a proximal portion of the handle, the handle defining an internal pathway in which a pair of opposingly movable cable portions extend side-by-side, the cable portions extending from the delivery head into the internal pathway of the handle, the cable portions being oppositely longitudinally moveable side-by-side relative to each other in the internal pathway and in the delivery head by movement of the trigger; and

iii. an activation mechanism coupled to the trigger for selectively enabling deployment and retraction of the attachment mechanism by movement of the trigger and a respective one of the cable portions when the delivery head is so engaged with the access port assembly.

2. The system of claim 1 wherein the handle extends away from the delivery head in a direction that does not intersect the generally central axis when the delivery head is so engaged with the access port assembly.

3. The system of claim 2 wherein the access port bottom is integral with the access port sidewall and the access port sidewall and access port bottom are a unitary configuration.

4. The system of claim 3 wherein the access port sidewall and access port bottom are titanium.

5. The system of claim 3 wherein the access port assembly further includes a housing including a housing sidewall surrounding the access port sidewall and an actuator assembly rotatable with respect to the housing sidewall.

6. The system of claim 1 wherein at least one of the cable portions includes tungsten.

7. The system of claim 1 wherein displacement of a respective one of the cable portions causes rotational movement of the attachment mechanism when the delivery head is engaged to the access port assembly.

8. The system of claim 1 wherein each of the cable portions has a substantially straight proximal portion and a curved distal portion.

9. The system of claim 1 wherein the attachment mechanism comprises at least one wire anchor.

10. The system of claim 9 wherein the wire anchor comprises a bent wire having a multi-faceted tip.

11. The system of claim 1 wherein the attachment mechanism comprises at least one anchor having a curved distal portion and a pivotal proximal portion substantially perpendicular with the curved distal portion.

12. The system of claim 1 wherein the attachment mechanism comprises at least one anchor having a spiral distal portion and a straight proximal portion substantially perpendicular with the spiral distal portion.

13. The tool of claim 1 wherein each of the cable portions has a substantially straight proximal portion and a curved distal portion.

14. The system of claim 1 wherein the delivery head has a substantially flat top surface and a substantially curved side surface, further wherein the handle is attached to the curved side surface of the delivery head.

15. A delivery tool for attaching an access port assembly to bodily tissue, the access port assembly including deployable fasteners and an access port having a generally central axis, the tool comprising:

a delivery head structured to engage the access port assembly, the delivery head having a longitudinal sidewall extending parallel to the central axis when the delivery head engages the access port;

a handle having a distal portion extending laterally away from the longitudinal sidewall of the delivery head and having a moveable trigger extending from a proximal portion of the handle, the handle defining an internal curved pathway in which a pair of opposingly movable cable portions extend side-by-side, the cable portions extending from the delivery head into the internal pathway of the handle, the cable portions being oppositely longitudinally displaceable side-by-side relative to each other by movement of the trigger; and

an activation mechanism coupled to the trigger for selectively enabling deployment and retraction of the deployable fasteners by movement of the trigger and a respective one of the cable portions when the delivery head is so engaged with the access port assembly,

wherein movement of the trigger is constructed to longitudinally displace a respective one of the cable portions in the internal pathway of the handle and in the delivery head to rotate a rotatable portion of the access port assembly when the delivery head is engaged to the access port assembly to move the deployable fasteners relative to the access port assembly, and

wherein each of the cable portions has a substantially straight proximal portion and a curved distal portion.

16. The tool of claim 15 wherein at least one of the cable portions includes tungsten.

17. The tool of claim 15 wherein the delivery head has a substantially flat top surface and a substantially curved side surface, further wherein the handle is attached to the curved side surface of the delivery head.