Low-profile access port

• US 10,463,845 B2
• Filed: 01/23/2014
• Issued: 11/05/2019
• Est. Priority Date: 01/23/2013
• Status: Active Grant

• Current Assignee: C.R. Bard, Inc. (Becton, Dickinson & Co)
• Original Assignee: C.R. Bard, Inc. (Becton, Dickinson & Co)
• Inventors: Stats, Jason R., Hamatake, Bret, Hibdon, Dwight T., Christian, Kelly J.
• Primary Examiner(s): Mehta, Bhisma
• Assistant Examiner(s): Wilson, Larry R.
• Application Number:
  US14/162,113
• Publication Number:
  US 20140207086A1
• Time in Patent Office: 2,112 Days
• CPC Class Codes: A61M 2039/0211 with multiple chambers in a single site
• CPC Class Codes: A61M 2039/0232 having means for facilitating the insertion into the body
• CPC Class Codes: A61M 2039/0235 having an additional inlet, e.g. for a guidewire or a catheter tube
• CPC Class Codes: A61M 2039/0238 having means for locating the implanted device to insure proper injection, e.g. radio-emitter, protuberances, radio-opaque markers
• CPC Class Codes: A61M 39/0208 Subcutaneous access sites for injecting or removing fluids transcutaneous access sites A61M39/0247; implantable infusion devices A61M5/14276
• CPC Class Codes: Y10T 29/49826 Assembling or joining

Abstract

A low-profile access port for subcutaneous implantation within the body of a patient is disclosed. The access port includes a receiving cup that provides a relatively large subcutaneous target to enable a catheter-bearing needle to access the port without difficulty. In addition, the access port includes a valve/seal assembly to permit pressurized fluid injection through the port while preventing backflow. In one embodiment, therefore, a low-profile access port comprises a body including a conduit with an inlet port at a proximal end thereof, and a receiving cup. The receiving cup is concavely shaped to direct a catheter-bearing needle into the conduit via the inlet port. The receiving cup is oriented substantially toward a skin surface when subcutaneously implanted within the patient to ease needle impingement thereon. A valve/seal assembly disposed in the conduit enables passage of the catheter therethrough while preventing fluid backflow.

Claims

1. A low-profile access port for subcutaneous placement in a patient, comprising:

a body including;

a conduit;

a receiving cup including;

a concavely shaped surface having a length greater than a width;

an upper opening lying in an upper plane;

a lower opening in communication with the conduit; and

a single guide groove defining a depression in the concavely shaped surface along the length from a proximal portion of the receiving cup to the lower opening to redirect an impinging distal tip of a needle into the conduit via the lower opening; and

a palpation bump positioned at a proximal end of the receiving cup, the palpation bump extending through the upper plane; and

a valve/seal assembly disposed in the conduit that enables passage of a catheter therethrough.

2. The access port as defined in claim 1, wherein the conduit includes a first conduit portion and a second conduit portion, the second conduit portion positioned distal to and at an angled orientation with respect to the first conduit portion.

3. The access port as defined in claim 2, wherein the second conduit portion is disposed at an angle less than about 37 degrees with respect to the first conduit portion.

4. The access port as defined in claim 1, wherein the upper plane is positioned substantially parallel to a skin surface when the access port is subcutaneously implanted.

5. The access port as defined in claim 1, wherein the conduit includes a first portion in communication with the lower opening and a second portion in communication with the first portion, wherein the first portion is angled toward a bottom surface of the access port, and wherein the second portion is angled toward a top surface of the access port.

6. The access port as defined in claim 1, further comprising a stem having a proximal portion positioned within a distal cavity of the body, the proximal portion of the stem including an inlet in communication with the valve/seal assembly.

7. The access port as defined in claim 1, further comprising a palpation ridge disposed opposite the palpation bump on the receiving cup.

8. The access port as defined in claim 7, wherein the palpation ridge extends over the upper opening and the lower opening of the receiving cup.

9. The access port as defined in claim 1, further comprising a housing surrounding the body, the housing forming a top surface and a bottom surface of the access port.

10. The access port as defined in claim 9, wherein the bottom surface is flat, and wherein the bottom surface is parallel to the top surface.

11. The access port as defined in claim 1, wherein the valve/seal assembly includes a first seal, a first slit valve, and a second slit valve positioned in a sandwiched configuration with respect to one another.

12. The access port as defined in claim 1, wherein at least a portion of the receiving cup includes a needle-impenetrable material.

13. The access port as defined in claim 12, wherein the needle-impenetrable material includes at least one of metal, glass, and ceramic.

14. The access port as defined in claim 1, wherein the body includes at least one of a metal and a thermoplastic.

15. The access port as defined in claim 14, wherein at least a portion of the body includes at least one of titanium and acetyl resin.

16. The access port as defined in claim 15, wherein the palpation bump includes a portion on the concavely shaped surface proximal of the guide groove that is substantially centered in the receiving cup.

17. A method for manufacturing a low-profile access port for subcutaneous placement in a patient, the method comprising:

providing a body defining a conduit, the body including;

a receiving cup defining an upper opening and a concavely shaped surface, the upper opening lying in an upper plane, the receiving cup including;

a lower opening in communication with the conduit; and

a single guide groove defining a depression in the concavely shaped surface to direct an impinging distal tip of a catheter-bearing needle into the conduit via the lower opening; and

a distal cavity in communication with the conduit;

overmolding a silicone housing around the body to form a top surface and a bottom surface of the low-profile access port, wherein the bottom surface is parallel to the upper plane;

placing a valve/seal assembly in the distal cavity; and

inserting a proximal end of a stem into the distal cavity to capture the valve/seal assembly in the body between the conduit and the stem.

18. A low-profile access port for subcutaneous placement in a patient, comprising:

a body including;

a conduit;

a receiving cup including;

a concavely shaped surface having a length greater than a width;

an upper opening lying in an upper plane;

a lower opening in communication with the conduit; and

a guide groove defining a depression in the concavely shaped surface along the length from a proximal portion of the receiving cup to the lower opening to guide a distal tip of a needle toward the lower opening; and

a palpation bump positioned at a proximal end of the receiving cup, the palpation bump extending above the upper plane; and

a valve/seal assembly in communication with the conduit that enables passage of a catheter therethrough, and including at least one seal for preventing backflow through the valve/seal assembly.

19. The access port as defined in claim 18, further comprising a palpation ridge disposed opposite the palpation bump on the receiving cup.

20. The access port as defined in claim 19, wherein the at least one seal defines a central hole therethrough and wherein a distal face of the at least one seal includes a frustoconical portion disposed about the central hole for preventing backflow past the catheter when fluid is passed through the catheter under pressure.

21. The access port as defined in claim 20, wherein the upper plane is oriented substantially toward a skin surface when subcutaneously implanted within the patient, and wherein a compliant overmolded portion surrounds the body of the access port.

22. The access port as defined in claim 21, wherein the overmolded portion includes at least one predetermined region through which sutures can be passed to secure the access port to tissue of the patient.

23. The access port as defined in claim 22, wherein the valve/seal assembly further includes first and second slit valves that are sandwiched between the at least one seal and a second seal.