Hemodialysis and vascular access system
First Claim
1. A Squitieri hemodialysis and vascular access system to shunt blood between a vein and an artery the system comprising:
- (a) a first tube having a first end adapted to be connected to the artery and a second end;
(b) a second tube having a first end adapted to be connected to the vein and including a plurality of apertures extending therethrough and having a second end; and
(c) a needle access port having a frame including a conduit extending therethrough, said frame having an inlet connected to the second end of the first tube and an outlet connected to the second end of the second tube to provide a flow path for blood and a silicone member protruding from the frame to provide access for needles into the flow path, wherein the needle access port includes;
an outer frame member having an upper surface including an aperture extending therethrough and downwardly extending walls about its periphery having inlet and outlet apertures, wherein the upper surface includes a lower portion having a plurality of teeth;
a silicone member mounted within the frame having a surface engaged by the frame teeth and an upwardly protruding portion extending through the frame aperture; and
a second frame member having a transverse conduit extending between the inlet and outlet apertures, an upper surface having a plurality of teeth engaging the silicone member to effect a seal and wherein the second frame member is positioned within the walls of the first frame member.
13 Assignments
0 Petitions
Accused Products
Abstract
A hemodialysis and vascular access system comprises a subcutaneous composite PTFE silastic arteriovenous fistula having an indwelling silastic venous end which is inserted percutaneously into a vein and a PTFE arterial end which is anastomosed to an artery. Access to a blood stream within the system is gained by direct puncture of needle(s) into a needle receiving site having a tubular passage within a metal or plastic frame and a silicone upper surface through which needle(s) are inserted. In an alternate embodiment of the invention, percutaneous access to a blood stream may be gained by placing needles directly into the system (i.e. into the PTFE arterial end). The invention also proposes an additional embodiment having an arterialized indwelling venous catheter where blood flows from an artery through a tube and a port into an arterial reservoir and is returned to a vein via a port and a venous outlet tube distinct and distant from the area where the blood from the artery enters the arterial reservoir. The site where blood is returned to the vein is not directly fixed to the venous wall but is free floating within the vein. This system provides a hemodialysis and venous access graft which has superior longevity and performance, is easier to implant and is much more user friendly.
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Citations
60 Claims
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1. A Squitieri hemodialysis and vascular access system to shunt blood between a vein and an artery the system comprising:
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(a) a first tube having a first end adapted to be connected to the artery and a second end; (b) a second tube having a first end adapted to be connected to the vein and including a plurality of apertures extending therethrough and having a second end; and (c) a needle access port having a frame including a conduit extending therethrough, said frame having an inlet connected to the second end of the first tube and an outlet connected to the second end of the second tube to provide a flow path for blood and a silicone member protruding from the frame to provide access for needles into the flow path, wherein the needle access port includes; an outer frame member having an upper surface including an aperture extending therethrough and downwardly extending walls about its periphery having inlet and outlet apertures, wherein the upper surface includes a lower portion having a plurality of teeth; a silicone member mounted within the frame having a surface engaged by the frame teeth and an upwardly protruding portion extending through the frame aperture; and a second frame member having a transverse conduit extending between the inlet and outlet apertures, an upper surface having a plurality of teeth engaging the silicone member to effect a seal and wherein the second frame member is positioned within the walls of the first frame member. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 11)
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9. A Squitieri hemodialysis and vascular access system to shunt blood between a vein and an artery, the system including:
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(a) a first tube having a first end adapted to be connected to the artery; (b) a second tube having a first end adapted to be connected to the vein and including a plurality of apertures extending therethrough and having a second end; (c) a needle access port having a frame including a conduit extending therethrough, said frame having an inlet connected to the second end of the first tube and an outlet connected to the second end of the second tube to provide a flow path for blood and a silicone member protruding from the frame to provide access for needles into the flow path; and a quick coupler for joining the first tube to the needle access port comprising a port member projecting outwardly from the frame inlet and having a circumferential slot extending thereabout, a cooperating member having an outer portion extending concentrically with the first tube and a portion extending outwardly therefrom and an outwardly sloped portion extending over the projecting port member and having an inner circumferential projection which engages the circumferential slot, and wherein the first tube extends over the port member to be engaged by the projecting portion of the cooperating member within the slot and a removable coupling which snaps over the cooperating member forcing it into a sealed engagement with the port member.
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10. A Squitieri hemodialysis and vascular access system to shunt blood between a vein and an artery, the system including:
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(a) a first tube having a first end adapted to be connected to the artery; (b) a second tube having a first end adapted to be connected to the vein and including a plurality of apertures extending therethrough and having a second end; and (c) a needle access port having a frame including a conduit extending therethrough, said frame having an inlet connected to the second end of the first tube and an outlet connected to the second end of the second tube to provide a flow path for blood and a silicone member protruding from the frame to provide access for needles into the flow path, wherein the needle access port comprises; a first member having a base, walls extending upwardly therefrom to form an enclosed area, and outwardly extending couplings on opposite walls thereof at the inlet and outlet of said port; a second member having a top including an upper aperture, downwardly extending side walls engaging the walls of the first member and having a conduit extending from the inlet to the outlet and a silicone member projecting form the upper aperture to provide needle access; and a tube mounted over each coupling and a coupler which fits over each tube to seal the tubes to the couplings.
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12. A hemodialysis and vascular access system comprising:
an arterialized indwelling venous catheter having a graft section provided from a material which is biocompatible with an artery, has a nonthrombogenic characteristic, which is adapted for long term attachment to an artery and which includes a region for repeated needle access and a catheter section, with a first end of said graft section adapted to be coupled to an artery and a portion of the catheter section adapted to be inserted within a vein at an insertion site, said catheter section portion having at least one opening in an end thereof with at least one of the at least one openings in the catheter section portion adapted to be within the vein itself and wherein the at least one opening is distant from the insertion site such that blood flows from the artery through the catheter and is returned to the vein through the at least one opening while providing laminar blood flow between the artery and the vein. - View Dependent Claims (13, 14, 15, 16)
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17. A method for providing hemodialysis and vascular access, comprising:
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providing an indwelling venous catheter, having; a graft section provided from a material which is biocompatible with an artery, has a nonthrombogenic characteristic, which is configured for long term attachment to an artery and which includes a first end of said graft section configured to be coupled to an artery and a region for repeated needle access; and a catheter section, with a portion of the catheter section configured to be inserted within a vein at an insertion site, said catheter section portion having at least one opening in an end thereof with at least one of the at least one openings in the catheter section portion configured to be within the vein itself; arterializing the indwelling venous catheter by attaching the graft section to an artery to form an arterialized indwelling venous catheter; implanting the region for repeated needle access so that it is entirely subcutaneous; inserting the catheter section into a vein through a side wall of the vein at the insertion site, such that the at least one opening is distant from the insertion site such that blood flows from the artery through the catheter section and is returned to the vein through the at least one opening while providing laminar blood flow between the artery and the vein; and providing continuous fluid flow between the graft section and the catheter section at least when the region for repeated needle access is not being accessed. - View Dependent Claims (18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 38, 39, 40, 41, 42, 43, 44, 45, 46, 47, 48, 49)
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50. A hemodialysis and vascular access system to shunt blood between a vein and an artery, the system comprising:
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(a) a first tube having a first end adapted to be connected to the artery and a second end; (b) a second tube having a first end adapted to be connected to the vein and including a plurality of apertures extending therethrough and having a second end; and (c) a needle access port configured to be subcutaneously implantable, the needle access port having a frame including a conduit extending therethrough, said frame having an inlet connected to the second end of the first tube and an outlet connected to the second end of the second tube to provide a flow path for blood and a silicone member protruding from the frame to provide access for needles into the flow path, wherein the needle access port includes; an outer frame member having an upper surface including an aperture extending therethrough and downwardly extending walls about its periphery having inlet and outlet apertures, wherein the upper surface includes a lower portion having a plurality of teeth; a silicone member mounted within the frame having a surface engaged by the frame teeth and an upwardly protruding portion extending through the frame aperture; and a second frame member having a transverse conduit extending between the inlet and outlet apertures, an upper surface having a plurality of teeth engaging the silicone member to effect a seal and wherein the second frame member is positioned within the walls of the first frame member. - View Dependent Claims (51, 52, 53, 54, 55, 56, 57)
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58. A hemodialysis and vascular access system to shunt blood between a vein and an artery, the system including:
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(a) a first tube having a first end adapted to be connected to the artery; (b) a second tube having a first end adapted to be connected to the vein and including a plurality of apertures extending therethrough and having a second end; (c) a needle access port configured to provide a subcutaneous connection between the first tube and the second tube, the needle access port having a frame including a conduit extending therethrough, said frame having an inlet connected to the second end of the first tube and an outlet connected to the second end of the second tube to provide a flow path for blood and a silicone member protruding from the frame to provide access for needles into the flow path; and a quick coupler for joining the first tube to the needle access port comprising a port member projecting outwardly from the frame inlet and having a circumferential slot extending thereabout, a cooperating member having an outer portion extending concentrically with the first tube and a portion extending outwardly therefrom and an outwardly sloped portion extending over the projecting port member and having an inner circumferential projection which engages the circumferential slot, and wherein the first tube extends over the port member to be engaged by the projecting portion of the cooperating member within the slot and a removable coupling which snaps over the cooperating member forcing it into a sealed engagement with the port member.
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59. A hemodialysis and vascular access system to shunt blood between a vein and an artery, the system including:
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(a) a first tube having a first end adapted to be connected to the artery; (b) a second tube having a first end adapted to be connected to the vein and including a plurality of apertures extending therethrough and having a second end; and (c) a needle access port configured to be subcutaneously implantable, the needle access port having a frame including a conduit extending therethrough, said frame having an inlet connected to the second end of the first tube and an outlet connected to the second end of the second tube to provide a flow path for blood and a silicone member protruding from the frame to provide access for needles into the flow path, wherein the needle access port comprises; a first member having a base, walls extending upwardly therefrom to form an enclosed area, and outwardly extending couplings on opposite walls thereof at the inlet and outlet of said port; a second member having a top including an upper aperture, downwardly extending side walls engaging the walls of the first member and having a conduit extending from the inlet to the outlet and a silicone member projecting form the upper aperture to provide needle access; and a tube mounted over each coupling and a coupler which fits over each tube to seal the tubes to the couplings. - View Dependent Claims (60)
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Specification