IMPLANTABLE DEVICE FASTENING SYSTEM AND METHODS OF USE

• US 20090254052A1
• Filed: 06/12/2009
• Published: 10/08/2009
• Est. Priority Date: 09/15/2003
• Status: Active Grant

• Current Assignee: Apollo Endosurgery US, Inc. (Boston Scientific Corporation)
• Original Assignee: Allergan, Inc. (Canada) (Abbvie Incorporated)
• Inventors: Birk, Janel A., Coe, Frederick L., Hoyt, Robert E.
• Granted Patent: US 7,947,011 B2
• Time in Patent Office: Days
• US Class Current: 604/288.10
• 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: A61B 17/0684 having a forming anvil staying above the tissue during stapling
• CPC Class Codes: A61B 2017/00867 shape memory effect for prostheses A61F2210/0014
• CPC Class Codes: A61B 2017/0647 having one single leg, e.g. tacks
• CPC Class Codes: A61B 2017/0649 Coils or spirals
• CPC Class Codes: A61M 2039/0223 having means for anchoring the subcutaneous access site
• CPC Class Codes: A61M 2039/0229 having means for facilitating assembling, e.g. snap-fit housing or modular design
• 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: A61M 39/04 having pierceable self-sealing members
• CPC Class Codes: A61M 5/1415 Stands, brackets or the like for supporting infusion accessories

Abstract

A surgical fastening system for implantable devices is disclosed. The implantable device may contain a plurality of fasteners in pre-deployment position, may have a housing fitted over or around fit which contains a plurality of fasteners in pre-deployment position, or may be a part of a two-part system into which it fits. Accordingly, the present invention also encompasses a deployment system or tool that optionally positions the implantable device, and which causes the fasteners to move into post-deployment position. The fasteners may be staples, metal loops, coils, springs or hooks formed of biocompatible materials, including shape memory alloys such as NiTi.

Claims

1. An implantable injection port, comprising:

a housing defining a periphery and having an upper face generally oriented in a plane perpendicular to a vertical axis;

a septum within the housing open to the upper face and capable of penetration by a needle along the vertical axis;

a space below the septum defining a fluid reservoir;

a tubing connector extending out of the housing from the periphery in fluid communication with the reservoir; and

a sharp-tipped fastener attached to the housing and mounted to pivot from an undeployed position within the housing periphery and not projecting below a lower face of the port opposite the upper face to a deployed position projecting below the lower face of the port to pierce tissue and enable a user to attach the port to tissue without sutures.

2. The port of claim 1, wherein the port further comprises a disc that rotates about the vertical axis for pivoting the fastener from the undeployed position to the deployed position.

3. The port of claim 2, wherein there are a plurality of the fasteners in the form of curved hooks distributed around the lower face of the port that the rotating disc causes to simultaneously pivot from their undeployed positions to their deployed positions.

4. The port of claim 3, wherein sharp tips of the curved hooks pivot through an arc and are received back in or near the lower face of the port at the end of their travel.

5. The port of claim 1, wherein there are a plurality of the fasteners in the form of curved hooks distributed around the lower face of the port that each pivot from their undeployed positions to their deployed positions.

6. The port of claim 5, wherein sharp tips of the curved hooks pivot through an arc and are received back in or near the lower face of the port at the end of their travel.

7. The port of claim 5, wherein the hooks pivot about axes that are generally radially oriented outward from a center at the vertical axis.

8. The port of claim 5, wherein the hooks pivot about axes that are generally tangential to a circle with a center at the vertical axis.

9. The port of claim 5, wherein there are at least three hooks.

10. An implantable injection port, comprising:

a housing having an upper face generally oriented in a plane perpendicular to a vertical axis;

a septum within the housing open to the upper face and capable of penetration by a needle along the vertical axis;

a space below the septum defining a fluid reservoir;

a tubing connector extending out of the housing in fluid communication with the reservoir; and

a plurality of curved hooks attached to the housing and distributed around a lower face of the port opposite the upper face, each hook mounted to pivot from an undeployed position not projecting below the lower face of the port to a deployed position projecting below the lower face of the port to pierce tissue and enable a user to attach the port to tissue without sutures.

11. The port of claim 10, wherein sharp tips of the curved hooks pivot through an arc and are received back in or near the lower face of the port at the end of their travel.

12. The port of claim 10, wherein the hooks pivot about axes that are generally radially oriented outward from a center at the vertical axis.

13. The port of claim 10, wherein the hooks pivot about axes that are generally tangential to a circle with a center at the vertical axis.

14. The port of claim 10, wherein there are at least three hooks.

15. The port of claim 10, wherein each hook produces an audible click indicating that the hook has pivoted completely to the deployed position.

16. The port of claim 10, wherein the port further comprises a disc that rotates about the vertical axis for simultaneously pivoting the hooks from their undeployed positions to their deployed positions.

17. The port of claim 16, wherein the rotating disc directly contacts the hooks.

18. The port of claim 16, further including locking tabs that engage stops and preventing backward rotation of the disc after pivoting the hooks from their undeployed positions to their deployed positions.

19. An implantable injection port, comprising:

a housing having a generally circular periphery defining a central axis and an upper face;

a septum within the housing open to the upper face and capable of penetration by a needle along the central axis;

a space below the septum defining a fluid reservoir;

a tubing connector extending radially out of the housing in fluid communication with the reservoir; and

a plurality of curved metal fasteners attached to the housing and distributed circumferentially around a lower face of the port opposite the upper face, each fastener mounted to pivot about an axis that is generally radially oriented outward from the central axis from an undeployed position not projecting below the lower face of the housing to a deployed position projecting below the lower face of the housing to pierce tissue and enable a user to attach the port to tissue without sutures.

20. The port of claim 19, wherein distal tips of the fasteners pivot through an arc and are received back in or near the lower face of the port at the end of their travel.

21. The port of claim 19, wherein there are at least three fasteners.

22. The port of claim 19, wherein each fastener produces an audible click indicating that the fastener has pivoted completely to the deployed position.

23. The port of claim 19, wherein the port further comprises a disc that rotates about the central axis for simultaneously pivoting the fasteners from their undeployed positions to their deployed positions.

24. The port of claim 23, wherein the rotating disc directly contacts the hooks.

25. The port of claim 23, further including locking tabs that engage stops and preventing backward rotation of the disc after pivoting the fasteners from their undeployed positions to their deployed positions.

26. The port of claim 19, wherein the curved metal fasteners have sharp tips.