Abstract: An implantable surgical injection port includes a housing defining a fluid reservoir; a septum disposed across an opening of the housing so as to enclose the fluid reservoir and having at least a portion of which is penetrable by a needle; and a collar having an upper surface facing opposite the septum. The upper surface defines an exterior and an interior perimeter that circumscribes at least the needle penetrable portion of the septum. At least one of the interior perimeter and the exterior perimeter defines a shape that is not elliptical. In on-limiting embodiments, the shape is a heart, a star, or an animal. The shape that is not elliptical may have one or more angles of which a vertex faces inward or outward of the interior or exterior perimeter. In this manner a patient can personalize the look of their implanted injection port and not be embarrassed by it.

Abstract: Systems for detecting needle insertion into a port chamber of an implantable medical device include a pressure sensor. The system detects characteristic pressure profiles associated with needle insertion into the port chamber through a septum and may generate a sensory cue to a clinician that proper needle placement has been achieved. Methods for detecting needle insertion into a port chamber of an implantable medical device includes detecting characteristic pressure profiles associated with needle insertion into the port chamber through a septum.

Abstract: An implantable device (1) for injecting fluid and/or for tapping fluid, the device having a housing (3) provided with a puncture zone (4) able to be transpierced by a hollow needle (5) for injecting fluid into and/or tapping fluid from a chamber (3A) provided inside the housing (3). The implantable device has a puncture zone (4) made up of at least first and second superposed flexible membranes (6, 7) mounted to be free, at least locally, relative to each other, to allow the membranes, at least locally, to move along each other, so that, once the needle (5) has been removed, the orifice formed by the needle (5) is sliced into first and second sub-orifices (6A, 7A) substantially not coinciding so as to impart a substantially leaktight property to the puncture zone (4).

Abstract: An implantable access device for intravenous delivery and/or withdrawal of fluids is described herein. The access device includes a septum which is movably supported within a housing of the access device from a retracted, low profile position to an extended, high profile position to facilitate easy identification of the location of the septum by medical personnel.

Abstract: Implantable medical devices include a sensor module capable of detecting an indicator of infection in proximity to the device. The sensor module is activated following a detection of an event associated with the device, such as, for example, refill of an implantable infusion device or implantation. The sensor module is deactivated two or more hours following activation. Methods include detecting a first event associated with an implanted medical device; activating a sensor module of the implanted medical device at or after the detection of the first event; deactivating the sensor module two hours or more after the sensor module is activated; and determining whether information regarding the indicator of infection is indicative of an infection.

Abstract: A therapeutic fluid delivery device includes a flexible member configured as an accumulator for flow of a therapeutic fluid through the fluid delivery device to a patient. In one example, the flexible member includes a catheter access port (CAP) septum.

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.

Abstract: A venous access port having a port body, a septum, a chamber and a discharge port with a passageway extending therethrough outwardly from the chamber. The central region of the chamber is elevated with respect to the periphery of the chamber floor adjacent the chamber side wall and may be convex or conical, with the chamber floor periphery defining a vortex flow path.

Abstract: The present invention provides devices, small interfering RNAs, and methods for treating a neurodegenerative disorder comprising the steps of surgically implanting a catheter so that a discharge portion of the catheter lies adjacent to a predetermined infusion site in a brain, and discharging through the discharge portion of the catheter a predetermined dosage of at least one substance capable of inhibiting production of at least one neurodegenerative protein. The present invention also provides valuable small interfering RNA vectors, systems, and methods for treating Huntington's disease in vivo without impairment of cell endoplasmic reticulum, spontaneous motor activity, or locomotor activity of a patient.

Abstract: An injection port comprises a body having an outlet delivery cannula configured to pierce subcutaneous tissue of a patient to deliver medication. The port includes multiple injection sites, each of which can be used multiple times, and each of which is sealed. Each injection port is configured to temporarily receive a delivery device and reseal itself when the delivery device is removed. In one embodiment, a seal includes a pierceable stationary septum that reseals itself when a sharp cannula is removed. One injection site also includes locking features to receive a locking device of a delivery device and temporarily lock the delivery device in place at the injection site. The locking device may later be unlocked when delivery is complete and removed. In one application, a diabetic may use one injection site for syringes during the day and the locking injection site for a insulin pump during sleeping hours.

Abstract: The present invention is directed to a device for a portable convection enhanced delivery system that allows administering liquids to specific locations within the body, especially tissues and tumors also allowing outsubject treatment. The application system comprises a portable extracorporal pump with a fluid reservoir that is connected via an infusion system to an infusion catheter placeable to any tissue or tumor the fluid should be administered to by high flow microperfusion. The system enables administration of fluids of any kind by convection enhanced delivery also in out-patient treatment. The system can be used for delivering various drugs, proteins, protein toxins, antibodies-for treatment or imaging, proteins in enzyme replacement therapy, growth factors and viruses or oligonucleotides in gene therapy etc. The application methods as well as the surgical method to implant this device are enclosed to this invention.

Abstract: A vascular access device for communicating with the vascular system of a patient may include a status indicator. The status indicator may detect and signal that a period of time has elapsed in relation to the use of the vascular access device.

Abstract: A vascular access device for communicating with the vascular system of a patient may include a status indicator. The status indicator may detect and signal that a period of time has elapsed in relation to the use of the vascular access device.

Abstract: A vascular access device for communicating with the vascular system of a patient may include a status indicator. The status indicator may detect and signal that a period of time has elapsed in relation to the use of the vascular access device.

Abstract: An access port for providing subcutaneous access to a patient is disclosed. In one embodiment, the port includes an internal body defining a fluid cavity that is accessible via a septum. A compliant outer cover including silicone is disposed about at least a portion of the body. A flange is included with the port body and is covered by the outer cover. The flange radially extends about a perimeter of the port body proximate the septum so as to impede penetration of a needle substantially into the outer cover in instances where the needle misses the septum. The flange can further include both an anchoring feature for securing the outer cover to the port body and an identification feature observable via x-ray imaging technology for conveying information indicative of at least one attribute of the access port. The outer cover provides a suitable surface for application of an antimicrobial/antithrombotic coating.

Abstract: An implantable port includes a body with a reservoir in the body, a tunnel extending from the reservoir to an outer surface of the body, a pivoting coupling connected to the body near the tunnel on the outer surface, and a stem connected to the pivoting coupling.

Abstract: A multi-port assembly includes a base with a surface, a port receiving area on the surface, and a port coupling connected to the base. The port receiving area is adapted to receive a mating surface of a port, and the port coupling is adapted to mate the port to the port receiving area.

Abstract: An attachment mechanism for a surgically implantable medical device includes one or more fasteners which may be simultaneously moved from an undeployed position to a deployed position by operation of an integral actuator. The attachment mechanism may be configured to be deactuated, and the fasteners simultaneously moved from a deployed position to an undeployed position, allowing removal or repositioning of the medical device. An applier includes a locator for detachably holding the implantable medical device, locating it at the desired position, and actuating the attachment mechanism. The applier is configured to undeploy the attachment mechanism the implantable medical device can be detached from the body tissue.

Abstract: An implantable port with an integral attachment mechanism. The implantable port includes one or more suture needles enclosed within a port body, the suture needle(s) coupled to a movable member such that movement of the movable member results in movement of the suture needle(s) out of the port body and into the tissue of a body into which it is implanted. The movable member can be a cam or tensioning member that rotates about a central port axis. The movable member can be coupled to a gear to permit movement of the movable member following implantation of the port within a subcutaneous pocket.

Abstract: An access portal is provided including a housing, a body defining a fluid reservoir, and a septum enclosing the fluid reservoir. A stem in fluid communication with the fluid reservoir extends from the fluid reservoir. The access portal also includes a reservoir insert disposed within the fluid reservoir, in which the reservoir insert decreases the fluid fill volume of the reservoir.

Abstract: The present invention provides a system for attaching a fluid access port to a patient. The system generally comprises an implantable access port and a tool for attaching an access port to a patient. The implantable access port may include a plurality of anchor assemblies composed of two different materials. In addition, a mesh member may be attached to the base of the access port to facilitate implantation of the access port into a patient's body. The tool may have a rotatable actuator head, and may engage the access port in various orientations.

Abstract: A medical device tool for use in combination with an implantable medical device that is capable of being subcutaneously implanted in a patient. The tool has a unitary body having an upper portion and a lower portion and a proximal end and a distal end which has a working section having a leading peripheral edge, an intermediate section having a rounded outer edge, and a handle portion that is positioned at the proximal end of the tool and is capable of being maneuvered. The tool is configured for selective receipt of an implantable medical device.

Abstract: The present invention concerns an implantable access device and a method for preparing the device. According to the invention the device comprises a shape memory base structure with a biological substructure suitable for cell adhesion, cell engraftment and proliferation for use in transferring and transporting fluid mixtures (blood, suspensions, drug formulations, emulsions, cell suspensions) in/into/out of a human or animal body.

Abstract: An injection base for artificial blood vessels includes a body and a catheter. The body has an injection chamber, a strengthened injection top diaphragm and a strengthened injection side diaphragm. The catheter is connected to one side of the body, and the strengthened injection side diaphragm is at another side of the body according to the catheter. The body and the catheter are integrated as one member. The totally implantable central venous access port further has a metal wire, which is coated with a film, and a puncture sheath with a side opening in order to make a loop around the metal wire through the puncture sheath conveniently. For the cases of a small blood vessel and a large angle of a blood vessel, the totally implantable central venous access port is easily implanted into and reinforces the strength thereof.

Abstract: A self attaching injection port has integral moveable fasteners which are moveable from a undeployed state to a deployed state engaging tissue. The fasteners may be disposed radially or tangentially, and rotated to pierce the fascia. The fasteners may be rigid or elastically deformable.

Abstract: A port (100) for a catheter assembly (200), including a body (102) and a cover (150) and having a distal discharge port (116) for connection to an implanted catheter assembly. Within the body is a longitudinal U-shaped channel (120) extending to a proximal body wall (104) from the distal body wall (106) along a longitudinal axis parallel to the axis of the discharge port (116). The channel has a rounded bottom (122) and is also rounded at the channel ends (126,124) at the distal and proximal body walls. The cover (150) provides for penetration by a syringe needle and seals upon needle withdrawal, with the cover having an inside surface (152) concave and rounded between the distal and proximal ends and also longitudinally, being generally smoothed into the channel sides and ends. The port has no inner sharp edges or corners and eliminates blood clotting and unwanted growth sites.

Abstract: An attachment mechanism for a surgically implantable medical device includes one or more fasteners which may be simultaneously moved from an undeployed position to a deployed position by operation of an integral actuator. The attachment mechanism may be configured to be deactuated, and the fasteners simultaneously moved from a deployed position to an undeployed position, allowing removal or repositioning of the medical device. An applier includes a locator for detachably holding the implantable medical device, locating it at the desired position, and actuating the attachment mechanism. The applier is configured to undeploy the attachment mechanism the implantable medical device can be detached from the body tissue.

Abstract: Intramedullary access or infusion devices that includes a tubular conduit having a distal end and a proximal end with a length sufficient to pass through the cortical region to the cancellous region of a bone; a flange circling the outside of the proximal end of the conduit; and a penetrable diaphragm positioned within the tubular conduit, are described. The devices may be placed in bone and later used, for example, as a site for administering a pharmacologically active agent.

Abstract: The present invention provides an improved vascular access port comprising a port base with a metallic dish insert molded (or bonded) into the bottom of the reservoir. In one embodiment, a single reservoir is provided. In another embodiment, plural reservoirs are provided. The metallic bottom of the reservoir provides a hard surface that will resist abrasion and puncture by the access needles used to infuse medication or withdraw blood. Additionally, the single and dual ports can include exit ports that are intended to better anatomically fit into the subcutaneous areas around muscle tissue.

Abstract: An access portal is provided including a housing, a body defining a fluid reservoir, and a septum enclosing the fluid reservoir. A stem in fluid communication with the fluid reservoir extends from the fluid reservoir. The access portal also includes a reservoir insert disposed within the fluid reservoir, in which the reservoir insert decreases the fluid fill volume of the reservoir.

Abstract: A therapeutic device to release a therapeutic agent comprises a porous structure coupled to a container comprising a reservoir. The reservoir comprises a volume sized to release therapeutic amounts of the therapeutic agent for an extended time when coupled to the porous structure and implanted in the patient. The porous structure may comprise a first side coupled to the reservoir and a second side to couple to the patient to release the therapeutic agent. A plurality of interconnecting channels can extend from the first side to the second side so as to connect a first a plurality of openings on the first side with a second plurality of openings on the second side.

Abstract: An implantable vascular access device includes a housing having an inlet, an outlet, an interior chamber defined therein and a valve positioned between the inlet and the interior chamber. The valve is subcutaneously manipulated between an open position, in which fluid can flow between the inlet and the interior chamber, and a closed position in which the valve occludes the inlet. The device may include any combination of multiple inlets, outlets and/or interior chambers. In the preferred embodiment, the housing includes two separate interior chambers suitable for the inflow and outflow of a typical hemodialysis procedure. A method for accessing a vascular structure is provided which includes the steps of subcutaneously implanting the device connecting one end of a cannula to the outlet of the device and another end of the cannula to a selected vascular structure. The valve of the device is manipulated to permit fluid communication between the inlet of the device and the selected vascular structure.

Abstract: An implantable hemodialysis port includes a housing and a septum, the housing being formed from a flexible material and including a plurality of chambers. The chambers are fluidly interconnected with one another by integrated outlet passageways. Each of the chambers includes a sidewall portion and a funnel portion tapering from the sidewall portion. The septum encloses each of the chambers.

Abstract: Drug solutions (or other combinations of vehicle with entrained drug) are prepared by removing drug from one or more masses of a solid form of the drug. The solid form of the drug may be sparingly soluble or insoluble in water. Examples of devices for holding solid drug and facilitating delivery of such drug to targeted regions are also described.

Abstract: An assembly for subcutaneous injections comprising an implantable injection port comprising a body with a plenum, an elastomeric self-sealing diaphragm sealed to the body or with a plenum, an outlet connecting the plenum to a conduit, and one or more ferromagnetic compatible elements positioned about the elastomeric self-sealing diaphragm and near the top side; and a needle support platform comprising a body having a top side and bottom side, with a needle guide extending from the top side to the bottom side, a needle secure; and an attachment base with a top side and bottom side, a center hollow open to the top and bottom sides, and one or more ferromagnetic compatible elements positioned about the center hollow and near the bottom side of the attachment base, the bottom side of the body of the needle support platform resting on the top side of the attachment base and slidable thereon, the position of the body on the attachment base adapted to be detachably secured.

Abstract: A catheter port assembly (100) having a body (101) having a distal end (110), a proximal end (120) and a longitudinal channel (116,124,136) extending therethrough is disclosed. The catheter port assembly further comprises a valve (150) disposed along the longitudinal channel. The valve (150) is adapted to restrict flow in at least one direction, and the distal end (110) is adapted to be connected to a catheter (200). The distal end (110) is adapted to be at least partially subcutaneously inserted into a patient after being connected to a catheter, and the proximal end (120) is adapted to be connected to an extracorporeal device. A distal cover (170) is disclosed to assure the connection of the port to the distal end of the catheter. Additionally, a bracket (190) is disclosed that stabilizes a plurality of catheter port assemblies after insertion into a patient. The present invention also discloses a method of inserting a catheter assembly comprising including the catheter port assembly.

Abstract: An improved injection port for implantation within a patient having an x-ray discernable marker allowing for the determination of a pressure rating for the injection port when so implanted.

Abstract: A drug delivery system (10) has a positive pressure drug reservoir (15). A pump (19) is in fluid communication with the reservoir (15) via a first fluid passageway (18). The outlet (19b) of the pump (19) is in fluid communication with a first regulator (21). The regulator (21) includes a housing (24) that has a first subchamber (24a) and a second subchamber (24b). The second subchamber (24b) is divided into a lower chamber (28a) and a middle chamber (28b) by a diaphragm (28). A third fluid passageway (32) is positioned between the lower chamber (28a) and the drug reservoir (15), whereby accidental flow from the reservoir (15) to an outlet (21b) is prevented.

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 it 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.

Abstract: A subdermal injection port may include a housing, a first chamber within the housing, and a second chamber within the housing. The subdermal injection port may also include a needle stop between the first chamber and the second chamber. The subdermal injection port may further include an outlet in the housing, with the outlet being in fluid communication with the first chamber and the second chamber.

Abstract: A percutaneous port comprises a port body defining a cavity and a first catheter channel adapted to allow passage of a catheter thereinto a shuttle removably received within the cavity, the shuttle including a first flow conduit which, when the shuttle is received within the cavity, extends to the first catheter channel and a sealing mechanism sealing the first flow conduit when a fluid pressure applied thereto is less than a threshold value and opening to permit flow therethrough when the fluid pressure applied thereto is at least the threshold value a cover releasably attachable to the port body to enclose the cavity.

Abstract: Methods and devices are described for monitoring reservoir fluid in an implantable infusion pump. Such methods and devices can be used when the infusion pump has a temperature-dependent component. For example, a method of monitoring reservoir fluid can include obtaining measurements from the reservoir that include corresponding data related to the amount of fluid and temperature in the reservoir. A pair of measurements can be used to monitor the fluid level, or flow rate out of, the reservoir when the corresponding temperatures of the measurements are within a temperature tolerance value. In such an instance, a measured amount difference can be calculated based on the fluid amounts corresponding to the pair of measurements. Other variations of fluid monitoring methods, and implantable infusion pump systems that can perform fluid monitoring, are also described.

Abstract: Implantable drug delivery apparatuses and methods are described. An input port septum receives a therapeutic drug. An implantable delivery catheter holds a volume of the therapeutic drug and includes a proximal end in fluid communication with the input port septum, a distal end including an output septum for removing fluid from the catheter, and a drug permeable surface for diffusion of the therapeutic drug into nearby tissue.

Abstract: An access port for providing subcutaneous access to a patient is disclosed. The access port includes a septum including palpable identification indicia thereon. In particular, the access port in one embodiment includes a body that defines a fluid cavity and a needle-penetrable septum covering the fluid cavity for providing access thereto. The septum defines an outer periphery. One or more palpation features are included on the septum. The palpation features each include a portion that extends in a radial direction beyond the outer periphery of the septum. The palpation features are therefore disposed relatively farther away from each other, simplifying palpation and identification thereof after the port has been subcutaneously implanted into a patient. The palpation features can be indicative of an attribute of the port, such as its ability to withstand fluid pressures and flow rates associated with power injection, for instance.

Abstract: The subcutaneously implantable vascular access port has two parts including a body and a wing. The body supports a chamber covered by a septum, with a septum held in place over the chamber by a collar. The chamber is coupleable to a vascular structure, such as through tubing extending from the body, for delivery of medical preparations. The body is preferably elongate in form. The wing is configured to be adjustable in width. In one embodiment the wing rotates relative to the body and has an elongate form similar to that of the body. When the wing is rotated it extends laterally from the body and enhances a stability of the body. In another embodiment, the wing is provided as a deformable wing which can expand laterally out of side openings of a cavern in the body into which the deformable wing is inserted.

Abstract: A method and system for the localized delivery of therapeutic agents to internal body tissues, especially the brain. In one aspect the invention is a method of delivering a therapeutic agent to a target location within an internal body tissue, the method comprising: charging the therapeutic agent; providing a plurality of polarizable microcatheters surrounding the target location; delivering the charged therapeutic agent between the microcatheters; and polarizing the microcatheters thereby generating an electrical field between the microcatheters that moves the charged therapeutic agent throughout the target location. In another aspect the invention is a system for carrying out the method.

Abstract: An access port for subcutaneous implantation is disclosed. Such an access port may comprise a body for capturing a septum for repeatedly inserting a needle therethrough into a cavity defined within the body. Further, the access port may include at least one feature structured and configured for identification of the access port subsequent to subcutaneous implantation. Methods of identifying a subcutaneously implanted access port are also disclosed. For example, a subcutaneously implanted access port may be provided and at least one feature of the subcutaneously implanted access port may be perceived. Further, the subcutaneously implanted access port may be identified in response to perceiving the at least one feature. In one embodiment, an identification feature is engraved or otherwise defined by the access port, so as to be visible after implantation via x-ray imaging technology.

Abstract: A port catheter for introducing a fluid into a hollow organ of a human or animal body includes a port unit implantable into the human or animal body, which port unit includes an interior chamber, to which the fluid to be introduced into the hollow organ of the human or animal body can be supplied. The port catheter further includes a tube connected to the port unit, which tube includes an inner channel through which fluid can be conducted into the hollow organ. The port catheter further includes a grip piece connected to the port unit and removable from it, for the manipulation of the port unit during the implantation of the port catheter into the human or animal body.

Abstract: A subcutaneous infusion device includes an indwelling member which has a base portion and a cannula reaching an inside of a body of a user when the base portion is fixed to a surface of the body of the user, and a coupling member which is attached to the indwelling member in a detachable/attachable manner. The coupling member includes a main body portion, a needle provided at the main body portion and communicated with the cannula when the coupling member is attached to the indwelling member, a lid portion provided turnably with respect to the main body portion, an engagement portion locking the lid portion to the main body portion, and an elastic member biased when the lid portion is locked to the main body portion and capable of biasing the lid portion in a turning direction when the locking is being released.

Abstract: An attachment mechanism for a surgically implantable medical device includes one or more fasteners which may be simultaneously moved from an undeployed position to a deployed position by operation of an integral actuator. The attachment mechanism may be configured to be deactuated, and the fasteners simultaneously moved from a deployed position to an undeployed position, allowing removal or repositioning of the medical device. An applier includes a locator for detachably holding the implantable medical device, locating it at the desired position, and actuating the attachment mechanism. The applier is configured to undeploy the attachment mechanism the implantable medical device can be detached from the body tissue.