Implantable access port system

• US 8,882,655 B2
• Filed: 05/15/2013
• Issued: 11/11/2014
• Est. Priority Date: 09/14/2010
• Status: Expired due to Fees

• Current Assignee: Apollo Endosurgery US, Inc. (Boston Scientific Corporation)
• Original Assignee: Apollo Endosurgery, Inc. (Boston Scientific Corporation)
• Inventors: Nitka, Greg, Kayda, Edwin J.
• Primary Examiner(s): Matthews, Christine
• Assistant Examiner(s): LANNU, JOSHUA DARYL DEANON
• Application Number:
  US13/895,118
• Publication Number:
  US 20130253263A1
• Time in Patent Office: 545 Days
• Field of Search: 600/37, 600 29- 31, 128879-899, 604/891.1, 604/288.03, 604/288.04, 604/288.02, 604/513, 604/502, 604/93.01, 604/175, 604/288, 606/219, 606/213, 606/217, 606/139
• US Class Current: 600/37
• CPC Class Codes: A61F 5/0066 Closing devices for gastric bands
• CPC Class Codes: A61M 2039/0223 having means for anchoring the subcutaneous access site
• CPC Class Codes: A61M 2039/0261 Means for anchoring port to the body, or ports having a special shape or being made of a specific material to allow easy implantation/integration in the body
• 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 39/0247 Semi-permanent or permanent transcutaneous or percutaneous access sites to the inside of the body peritoneal dialysis catheters A61M1/285; tracheostomy devices A61M16/0465; measuring pressure within the body A61B5/03; colostomy devices A61F5/445; gastrotomy feeding tubes A61J15/0015; means for fixing a feeding tube outside of the body A61J15/0053

Abstract

An implantable injection port comprises a base. A first gear is coupled to the base, and a first anchor is coupled to the first gear. A second gear is coupled to the base, and a second anchor is coupled to the second gear. A top portion of the injection port is spaced apart from the base of the port and has a first plurality of top teeth that engage with a first plurality of gear teeth on the first gear. This engagement occurs prior to rotation of the second gear. The top portion rotates, which causes rotation of the first gear, which in turn causes movement of the first anchor through the anchor opening of the base and into the tissue of the patient. The first gear and the second gear rotate non-simultaneously.

Claims

1. An implantable injection port for use with a gastric band for treating obesity and for attaching to a tissue of a patient, the implantable injection port comprising:

a base having a first anchor opening;

a first gear coupled to the base and rotatable about a first axis, the first gear having a first plurality of gear teeth;

a second gear coupled to the base and rotatable about a second axis, the second gear having a second plurality of gear teeth;

a first anchor coupled to the first gear;

a second anchor coupled to the second gear; and

a top portion spaced apart from the base and having a first plurality of top teeth that engage with the first plurality of gear teeth on the first gear prior to rotation of the second gear, the top portion being rotatable causing rotation of the first gear such that the rotation of the first gear causes movement of the first anchor through the anchor opening of the base and into the tissue of the patient,

wherein subsequent to the first plurality of top teeth rotating a predetermined amount with the first plurality of gear teeth on the first gear, the first plurality of top teeth are configured to begin to rotate with the second plurality of gear teeth on the second gear and cause rotation of the second gear to begin subsequent to a beginning rotation of the first gear, which causes movement of the second anchor through a second anchor opening of the base and into the tissue of the patient.

2. The implantable injection port of claim 1, wherein the first gear rotates about the first axis independently of the second gear.

3. The implantable injection port of claim 1, wherein the first anchor and the second anchor move non-simultaneously into the tissue of the patient.

4. The implantable injection port of claim 1, wherein the first anchor moves into the tissue of the patient at a first time, and wherein the second anchor moves into the tissue of the patient a second time different than the first time.

5. The implantable injection port of claim 1, further comprising a third gear coupled to the base and rotatable about a third axis, the third gear having a third anchor and a third plurality of gear teeth.

6. The implantable injection port of claim 5, wherein the top portion comprises a second plurality of top teeth that engage with the third plurality of gear teeth on the third gear to cause movement of the third anchor through a third anchor opening of the base and into the tissue of the patient.

7. The implantable injection port of claim 6, wherein the second plurality of top teeth engage with the third plurality of gear teeth simultaneously with the engagement of the first plurality of top teeth and the first plurality of gear teeth.

8. The implantable injection port of claim 6, wherein the second plurality of top teeth engage with the third plurality of gear teeth at a first time, and wherein the first plurality of top teeth engage with the first plurality of gear teeth at the first time.

9. The implantable injection port of claim 5, wherein the third axis is collinear with the first axis.

10. The implantable injection port of claim 1, wherein the implantable injection port is constructed to be actuated with an actuation device capable of non-simultaneously rotating the first gear and the second gear to attach the implantable injection port to the tissue of the patient with.

11. The implantable injection port of claim 1, further comprising a septum positioned within a center opening of the top portion and made of a self sealing needle penetrable material.

12. The implantable injection port of claim 11, further comprising a reservoir positioned underneath the septum and between the top portion and the base for holding fluid.

13. The implantable injection port of claim 1, wherein the first and second gears are constructed to rotate with the rotation of the first plurality of top teeth with the first plurality of gear teeth and the second plurality of gear teeth causes the first anchor to be fully deployed before the second anchor is fully deployed.

14. An actuation device for attaching an implantable injection port to a tissue of a patient, the actuation device comprising:

a head configured to be coupled to the implantable injection port;

a first drive band coupled to a trigger of the actuation device;

a second drive band coupled to the first drive band for translating motion from the trigger of the actuation device to the second drive band, wherein the second drive band is configured to interface with a top portion of the implantable injection port to facilitate deploying an anchor of the implantable injection port into the tissue of the patient; and

a switch operable to direct the second drive band along a first surface of the head to rotate the top portion of the implantable injection port in an implanting direction and to direct the second drive band along a second surface of the head to rotate the top portion of the implantable injection port in a retracting direction.

15. The actuation device of claim 14, wherein a face of the first drive band is substantially perpendicular to a face of the second drive band, and wherein the first drive band is a horizontal drive band and the second drive band is a vertical drive band.

16. The actuation device of claim 14, wherein the head is a gripping portion configured to be coupled to the implantable injection port via a snap feature.

17. The actuation device of claim 14, wherein the implanting direction of the top portion facilitates implanting the anchor in the tissue of the patient, and wherein the retracting direction of the top portion facilitates retracting the anchor from the tissue of the patient.

18. The actuation device of claim 14, wherein the implanting direction is clockwise and the retracting direction is counter clockwise.

19. The actuation device of claim 14, wherein the switch is manually or automatically toggled to a retracting mode after the trigger is depressed and released to implant the anchor in the tissue of the patient.

20. The actuation device of claim 19, wherein the switch is toggled by rotating from a first position to a second position, wherein the first position guides the second drive band to rotate the top portion of the implantable injection port in the implanting direction, and wherein the second position guides the second drive band to rotate the top portion of the implantable injection port in the retracting direction.

21. A method for implanting an implantable injection port in a tissue of a patient, the method comprising:

coupling a gripping portion of an actuation device to a top portion of the implantable injection port having a rotatable top portion having a first set of top teeth configured to alternately rotate with a first gear and a second gear, the first gear coupled to a first anchor and the second gear coupled to a second anchor;

depressing a trigger of the actuation device having a switch configured in an implanting orientation;

responsive to depressing the trigger, directing a vertical drive band through the switch to push the top portion of the implantable injection port to rotate the top portion in an implanting direction;

rotating the rotatable top portion; and

implanting, at a first time during the rotation of the top portion, a first anchor into the tissue of the patient in response to the first set of top teeth rotating a first predetermined amount with the first gear and implanting, at a second time during the rotation of the top portion subsequent to the first set of top teeth rotating the first predetermined amount with the first gear, the second anchor into the tissue of the patient in response to the first set of top teeth rotating with the second gear subsequent to the first set of top teeth rotating the first predetermined amount with the first gear.

22. The method according to claim 21, further comprising toggling the switch to an extracting orientation in response to the trigger being released.

23. A system for implanting an implantable injection port in a tissue of a patient, the system comprising:

an actuation device for attaching the implantable injection port to the tissue of the patient, the actuation device comprising;

a head configured to be coupled to the implantable injection port;

a first drive band coupled to a trigger of the actuation device;

a second drive band coupled to the first drive band for translating motion from the trigger of the actuation device to the second drive band, wherein the second drive band is configured to interface with a top portion of the implantable injection port to facilitate deploying an anchor of the implantable injection port into the tissue of the patient; and

a switch operable to direct the second drive band to rotate the top portion of the implantable injection port in an implanting direction or a retracting direction;

wherein the implantable injection port comprises;

a base having an anchor opening;

a first gear coupled to the base and rotatable about a first axis, the first gear having a first plurality of gear teeth; and

a second gear coupled to the base and rotatable about a second axis, the second gear having a second plurality of gear teeth;

wherein the anchor is coupled to the first gear, and

wherein the top portion is spaced apart from the base and has a first plurality of top teeth that engage with the first plurality of gear teeth on the first gear prior to a second plurality of top teeth engaging with the second plurality of gear teeth on the second gear, the top portion being rotatable causing rotation of the first gear such that the rotation of the first gear causes movement of the anchor through the anchor opening of the base and into the tissue of the patient.

24. An implantable injection port for use with a gastric band for treating obesity and for attaching to a tissue of a patient, the implantable injection port comprising:

a base having a first anchor opening;

a first gear coupled to the base and rotatable about a first axis, the first gear having a first plurality of gear teeth;

a second gear coupled to the base and rotatable about a second axis, the second gear having a second plurality of gear teeth;

a first anchor coupled to the first gear;

a second anchor coupled to the second gear; and

a top portion spaced apart from the base and having a first plurality of top teeth and a second plurality of top teeth angularly spaced from the first plurality of top teeth, the first plurality of top teeth engagable with the first plurality of gear teeth on the first gear and the second plurality of top teeth engageable with the second plurality of gear teeth on the second gear when the first plurality of top teeth are disengaged from the first plurality of gear teeth, the top portion being rotatable to cause rotation of the first gear and the first anchor at a first time and to cause rotation of the second gear and the second anchor at a second time subsequent to the first time.

25. An implantable injection port for use with a gastric band for treating obesity and for attaching to a tissue of a patient, the implantable injection port comprising:

a base having a first anchor opening and a second anchor opening;

a first gear coupled to the base and rotatable about a first axis, the first gear having a first plurality of gear teeth;

a second gear coupled to the base and rotatable about a second axis, the second gear having a second plurality of gear teeth;

a first anchor coupled to the first gear;

a second anchor coupled to the second gear; and

a top portion spaced apart from the base and having a first plurality of top teeth and a second plurality of top teeth circumferentially spaced from the first plurality of top teeth, the first plurality of top teeth configured to engage with the first plurality of gear teeth on the first gear prior to the second plurality of top teeth engaging with the second plurality of gear teeth on the second gear when the top portion is rotated, the top portion being configured to rotate and cause rotation of the first gear and the second gear such that the rotation of the first gear causes movement of the first anchor through the first anchor opening of the base and into the tissue of the patient and rotation of the second gear causes movement of the second anchor through the second anchor opening and into the tissue of the patient,

wherein subsequent to the first plurality of top teeth rotating a predetermined amount with the first plurality of gear teeth on the first gear, the second plurality of top teeth begins to rotate with the second plurality of gear teeth on the second gear to cause rotation of the second gear to begin subsequent to beginning rotation of the first gear, which causes movement of the second anchor through the second anchor opening of the base.

26. The implantable injection port of claim 25, wherein the rotation of the first plurality of top teeth and the second plurality of top teeth cause the first anchor to be fully deployed before the second anchor is fully deployed.

27. An implantable injection port comprising:

a base having a first anchor opening and a second anchor opening;

a first gear coupled to the base and rotatable about a first axis, the first gear having a first plurality of gear teeth; and

a second gear coupled to the base and rotatable about a second axis, the second gear having a second plurality of gear teeth;

a first anchor coupled to the first gear;

a second anchor coupled to the second gear;

a top portion spaced apart from the base having a first plurality of top teeth and a second plurality of top teeth, wherein the first plurality of top teeth are configured to engage with the first plurality of gear teeth on the first gear prior to the second plurality of top teeth engaging with the second plurality of gear teeth on the second gear, the top portion being configured to rotate and cause rotation of the first gear such that the rotation of the first gear causes movement of the first anchor through the first anchor opening of the base prior to movement of the second anchor through the second anchor opening and rotation of the second gear causes movement of the second anchor through the second anchor opening.

28. The injection port of claim 27, wherein movement of the second anchor is subsequent to a beginning of movement of the first anchor.

29. An implantable injection port for use with a gastric band for treating obesity and for attaching to a tissue of a patient, the implantable injection port comprising:

a base having a first anchor opening and a second anchor opening;

a top rotatably coupled to the base and spaced from the base, the top rotatable with respect to the base about a longitudinal axis through the top and the base;

a first anchor coupled to the base and rotatably deployable about a first axis different from the longitudinal axis through the first anchor opening; and

a second anchor coupled to the base and rotatably deployable about a second axis different from the longitudinal axis through the second anchor opening,

wherein the first anchor and the second anchor are constructed to be non-simultaneously deployed through their respective anchor openings, and wherein the first and second anchors are constructed to be deployed in response to relative rotation between the top and the base.

30. An implantable injection port for use with a gastric band for treating obesity and for attaching to a tissue of a patient, the implantable injection port comprising:

a base having a first anchor opening and a second anchor opening;

a top rotatably coupled to the base and spaced from the base, the top rotatable with respect to the base about a longitudinal axis through the top and the base;

a first anchor coupled to the base and rotatably deployable about a first axis different from the longitudinal axis through the first anchor opening; and

a second anchor coupled to the base and rotatably deployable about a second axis different from the longitudinal axis through the second anchor opening,

wherein the first anchor and the second anchor are constructed to be asynchronously deployed through their respective anchor openings, and wherein the first and second anchors are constructed to be deployed in response to relative rotation between the top and the base.