Abstract: The present invention relates to a novel vascular access port for administering chemotherapeutics and the like that are subintimally implanted and attached to the fascia. By inclusion of one or more UV fluorescing polymers in the port a healthcare worker can shine a UV light in the area of the port and use the fluorescing polymer to find the injection site.

Abstract: A refill port for an implantable device with integral refill instrument placement detection includes a pierceable septum and a detector. The pierceable septum is disposed on the refill port for admitting a refill instrument has a first outer surface at least a portion of which is exposed outside the refill port and a second inner surface at least a portion of which is exposed inside the refill port. The detector is disposed inside the refill port with respect to the second inner surface of the pierceable septum for determining the placement of a refill instrument within the refill port. The refill port can be provided on a refillable implantable drug delivery pump having control electronics so that the detector can trigger pump test features of the control electronics upon placement or removal of a refill instrument from the port.

Abstract: A port system including an implantable first fluid guiding system, an external second fluid guiding system with a connecting head at one end, a percutaneously implantable port for establishing a fluid connection between the fluid guiding systems, the port including a port casing which forms a first connecting element, and a connecting device which includes a second connecting element, wherein the connecting head is fastened to the port casing by a releasable, engagement of the connecting elements, several embodiments of which connecting elements are encompassed.

Abstract: An infusion device includes a disc-shaped housing that is made from a biocompatible material. The housing contains a reservoir for holding a volume of infusion medium, such as a medication to be administered to the patient. The inlet structure is coupled in flow communication with the reservoir, to allow the reservoir to be filled or refilled. The housing has an outlet through which the infusion medium may be expelled.

Abstract: Some embodiments of the invention provide an apparatus for achieving hemostasis in a puncture tract that is created during a medical procedure. The puncture typically extends from the epidermis to the vasculature in a living organism. In some embodiments, the apparatus includes (1) a plug for subcutaneous placement within the puncture tract, and (2) a delivery mechanism for delivering and maintaining the plug within the puncture tract until hemostasis is achieved. The apparatus also includes in some embodiments a lubricious sheath that is placed around the plug to facilitate the insertion of the plug into the puncture tract.

Abstract: A vascular access port is disclosed for subcutaneous implantation. The port is particularly adapted to be affixed to a bone to securely hold the port in position, to assist medical personnel in finding the port and to decrease a visibility of the port. The port has a chamber therein which is accessed by a needle through a septum adjacent the chamber. The chamber is placed into fluid communication with the vascular structure of the patient, such as through catheter tubing. The chamber is surrounded by a body with an outer surface which is preferably fitted with threads to facilitate secure but removable attachment of the port within a hole in the bone where the port is to be implanted.

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 catheter head, for introduction of a fluid into an organic tissue, including a cannula housing with a cannula, a connector element with a fluid inlet, a guide and a fixing device. The guide device has several selectable discrete rotational positions for positioning the connector element relative to the cannula housing about a longitudinal axis of the cannula. The connector element, positioned in a rotational position, is detachably connected to the cannula housing in the selected position by means of the fixing device.

Abstract: Systems and methods for orienting a medical instrument relative to at least a portion of a medical device include a first tilt detector associated with the medical instrument and a second tilt detector associated with the medical device. The first tilt detector may be within an orientation device that is coupled to or separate from the medical instrument. The tilt detectors generate signals that may be used to determine the relative orientation between at least a portion of the medical device and medical instrument. For example, in some embodiments, the signals may be used to determine whether the orientations of the portion of the medical device and the medical instrument substantially match.

Abstract: A medical device needle receiving port configured to stop a needle's penetration without physically engaging the needle's tip thereby reducing the likelihood of tip damage. The port preferably incorporates a particulate chamber for collecting particulates larger then a fluid outlet dimension.

Abstract: An implantable port comprises a port body forming a fluid reservoir and a septum sealing a proximal end of the reservoir in combination with a clicker member biased toward a first configuration, the clicker member being deformable via mechanical force applied thereto and configured so that, when subject to a force of at least a predetermined magnitude, the clicker member rapidly deforms away from the first configuration to a second configuration to provide one of an aural and tactile feedback to the user.

Abstract: A needle apparatus for aligning a needle with a port of an implantable infusion device includes a needle anchoring portion configured to axially fix the apparatus relative to a needle to be inserted into the port. The needle apparatus further includes a port locating portion fixable relative to the needle anchoring portion. The port locating portion includes a port location signal receiver module for receiving a signal from an implantable infusion device regarding the location of the port of the infusion device.

Abstract: An implantable access port for use in transferring a fluid transdermally between an external fluid storage or dispensing device and a site within a patient's body is disclosed. The access port includes a base, a bowl-shaped reservoir defined within the base by a smooth surfaced wall, and a septum secured to the base and enclosing the reservoir within the base. The access port also has an outlet passageway defined within the base and extending in communication with a reservoir outlet defined within the reservoir and an external opening defined in the exterior of the base.

Abstract: A venous access port assembly (10) having a housing (12), a septum (14), a discharge stem (16) at a distal end thereof for connection to a catheter (50), and an interior chamber (18). The housing includes a pair of recesses (28) along both sides thereof between the distal end and a proximal port end (24), where the recesses facilitate pushing the assembly by the practitioner into a subcutaneous pocket (104) of a patient (100) for implantation into the pocket.

Abstract: In various embodiments, a needle is employed in refilling drug-delivery devices.

Abstract: The present invention provides imaging devices. The present invention also provides in vivo drug screening systems. The present invention further provides a method for in vivo drug screening.

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 access port for use in transferring fluid transdermally between an external fluid storage or dispensing device and a site within a patient is disclosed. The access port includes a body, at least two reservoirs defined within the access port body, and at least one septum secured to the body and enclosing the reservoirs within the body. The access port also includes reservoir outlets defined within the reservoirs. The access port also has body conduits defined within the body and in fluid communication with the reservoir outlets and external openings defined in the exterior of the body. An implantable access port and system for use in apheresis is also provided that includes an implantable access port, at least one needle, and a catheter that is fluidly connected to the access port.

Abstract: A method for implanting an injection port within a patient. The method involves providing a port having a housing with a closed distal end, a open proximal end, a fluid reservoir therebetween, a needle penetrable septum attached to the housing about the opening, and at least one attachment mechanism mounted to the housing at a pivot point along an outer periphery of the housing. The attachment mechanism is an arcuate hook pivotable with respect to the housing, the arcuate hook having a length extending substantially at least 180° about the pivot point. The method further involves placing the distal end of the port adjacent tissue, and rotating the arcuate hook at least 180 degrees so that a free end of the hook extends into tissue and back out again.

Abstract: Disclosed is a compact, low profile venous access port to be implanted below the skin of a patient and coupled to a (e.g., subclavian) vein by a Seldinger technique, or the like, so that a supply of fluid medication can be delivered directly to the patient's circulatory system via a medication delivery lumen. The target axis of the venous access port herein disclosed advantageously makes a small acute angle with to the patient's skin (as opposed to the 90 degree angle that is common to conventional subcutaneous ports) so as to avoid puncturing a medication delivery lumen as a consequence of a misalignment of a needle cannula with the target area of the port. A pocket forming tool is also disclosed to be inserted through an incision made in the patient's skin to create an accurately sized anti-migration pocket that is closed around the venous access port to prevent a displacement thereof.

Abstract: A medical device needle receiving port configured to stop a needle's penetration without physically engaging the needle's tip thereby reducing the likelihood of tip damage. The port preferably incorporates a particulate chamber for collecting particulates larger then a fluid outlet dimension.

Abstract: An implantable medical device system includes an implantable device and an external locator device for percutaneously locating detecting port opening of the implantable device. The implantable device includes a port chamber forming the port opening, a septum sealing the port chamber relative to an exterior of the device, and a coil positioned at a known location relative to the port opening. The locator device includes a controller, at least one X-loop electrically coupled to the controller and oriented along a first major axis, and at least one Y-loop electrically coupled to the controller and oriented along a second major axis differing from the first major axis. The system is configured such that when the locator is spatially proximate the coil, an induced voltage in at least the Y-loop(s) is read by the controller to indicate a location of the coil relative to the locator device.

Abstract: The application provides a device (10) for the controlled release of a predefined quantity of a substance from a compartment (20). The device comprises a matrix arrangement of compartments in a substrate, each compartment being closed by at least one release mechanism, at least one first electrode (40) and at least one second electrode (50) being assigned to each compartment, the device comprising a plurality of selection lines (60) and a plurality of signal lines (70), the number of compartments exceeding the sum of the number of selection lines and the number of signal lines, each first electrode or each second electrode being electrically connected via at least one active component to one of the plurality of selection lines and/or to one of the plurality of signal lines.

Abstract: An external surface of a catheter body includes a pressure responsive slit formed in an indentation wherein a wall thickness of the catheter body within the indentation is less than a wall thickness of a major portion of the catheter body. Material exits a lumen of the catheter body, via the pressure responsive slit, when a pressure inside the lumen exceeds an external pressure.

Abstract: A drug delivery device that is suitable for delivery of a therapeutic agent to limited access regions of the eye is provided. Preferred devices of the invention are minimally invasive, refillable and may be easily fixed to the treatment area.

Abstract: In one embodiment, a pressure sensing system is described which transmits data to a patient management system external to a patient. The pressure sensing system can rigidly couple to an implantable port or flexibly couple to an implantable port. In some embodiments, the pressure sensing system communicates with a hydraulic actuating system. In some embodiments, the pressure sensing system is implantable and comprises a circuit capable of wireless transmission through the skin of a patient to an external receiver which is part of a patient management system. A patient management system is described which receives up to date as well as historical data from the pressure sensing system and manages the these data in the context of a patient database. In some embodiments, an extragastric balloon is described in which the balloon is contoured to fit a portion of the stomach but not circumscribe the stomach.

Abstract: An implantable vascular access port assembly that has a septum, a reservoir, and a catheter connector assembly for use in connecting a catheter with the vascular access port. The catheter connector assembly has an O-ring, an O-ring seal, a locking ring, and a catheter connection plug, which components are located in secured adjacent relationship to one another, respectively, in the vascular access port. The catheter connector assembly securely locks the catheter inside of the vascular access port without compromising the lumen cross-sectional area and can withstand high pressures.

Abstract: A surgically implantable access port has a main port body with an internal chamber formed therein, and an outlet tube connected to the main port body. The internal chamber is configured to readily receive a guide wire therein, and to passively direct the tip of a guide wire to an outlet, which is in fluid communication with the outlet tube. The chamber in the main port body is formed in a directionally aimed conical shape. The outlet may be located at the lowest area of the chamber, to help direct a guide wire thereto. A specialized needle is also described, having a curved tip with an opening formed therein. The top inner surface and the bottom outer surface of the needle, adjacent the tip opening, are rounded and non-sharp to avoid damaging a guide wire or catheter when used therewith. Methods of using the port and needle are also disclosed.

Abstract: The pump includes a metering pump including a rotor, at least two lengths of tubing against which the rotor is movable to urge the drug therethrough, and an outlet port associated with each of the at least two lengths of tubing. In this way, a drug may be supplied to more than one neurological target.

Abstract: The pump includes a metering pump including a rotor, at least two lengths of tubing against which the rotor is movable to urge the drug therethrough, and an outlet port associated with each of the at least two lengths of tubing. In this way, a drug may be supplied to more than one neurological target.

Abstract: The device protects the proximal extension of an indwelling catheter and its percutaneous puncture site from moisture, fluids and risk of infection and maintains a clean environment and a fluid-impermeable and bacteria growth-inhibiting seal against the patient's skin when bathing, showering or swimming, and also protects others from being exposed to the patient's blood and catheter at that time. A faceplate is adhered to the skin about the catheter exit site with medical adhesive, the proximal end of the catheter is secured to the faceplate to prevent it from moving from within the patient's body, and a water-impermeable housing is sealed to the faceplate, with the proximal end of the catheter extending into a cavity of the housing. An antimicrobial material may be disposed on the backside of the faceplate. The device allows a patient to shower, bathe and swim while preventing the catheter from being dislodged from the patient.

Abstract: An access port for a catheter, comprises a housing including a needle opening extending to a fluid chamber defined within the housing and a self sealing septum mounted within the needle opening and engaging an interior perimeter of the needle opening and a compression element disposed between the septum and the housing directing a radially inward compressive force to the septum.

Abstract: A medical device known as an implantable therapeutic substance delivery device is configured for implanting in humans to deliver a therapeutic substance such as pharmaceutical compositions, genetic materials, and biologics to treat a variety of medical conditions such as pain, spastisity, cancer, and many other conditions. The therapeutic substance delivery device has a permanent magnet solenoid pump that is energy efficient, accurate, small, compatible with therapeutic substances, and has many other improvements. The implantable therapeutic substance delivery device has a housing, a therapeutic substance reservoir, a power source, electronics, and a permanent magnet solenoid pump. The therapeutic substance reservoir is configured to contain a therapeutic substance and is coupled to the housing. The power source is carried in the housing to power the electronics and solenoid pump. The electronics are coupled to the solenoid pump and the solenoid pump is coupled to the therapeutic substance reservoir.

Abstract: A venous access port (100,100A) having a port body (102), a septum (104), a chamber (112,112A) and a discharge port (108) with a passageway (110) extending therethrough outwardly from the chamber. The central region of the chamber (112,112A) 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 (116,116A).

Abstract: An implantable venous access port for a catheter. The port assembly (100) includes a body (102), a septum (134) for needle insertion, a discharge port (150) having a passageway (154) and to which a catheter proximal end (202) is connected, and a proximal port (170) with a proximal passageway (172,116) that is in line with the discharge port passageway (154). A chamber (118) of the port body (102) fluidly connects the proximal port passageway and the discharge port passageway, and a proximal septum (174) traverses and seals the proximal passageway (172,116). An entry cannula (190) is insertable into the proximal opening and penetrates the proximal septum (174) and extends to the discharge port passageway (154) enabling a guide wire (198) to be inserted therethrough after the port (100) has been connected to the catheter (200), whereafter the entire assembly is implantable into a patient over the guide wire. A method of over-the-wire venous port placement is disclosed, and also a method for assembling the port.

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: A vascular access port is disclosed for subcutaneous implantation. The port is particularly adapted to be affixed to a bone to securely hold the port in position, to assist medical personnel in finding the port and to decrease a visibility of the port. The port has a chamber therein which is accessed by a needle through a septum adjacent the chamber. The chamber is placed into fluid communication with the vascular structure of the patient, such as through catheter tubing. The chamber is surrounded by a body with an outer surface which is preferably fitted with threads to facilitate secure but removable attachment of the port within a hole in the bone where the port is to be implanted.

Abstract: The invention concerns a medical device comprising an inflatable sheath (2), a tubing (3) integral with a non-return valve (4), a rigid disc (5) forming a horizontal platform above the chamber (2) and means for receiving (6, 7, 18) the cannula (13, 20).

Abstract: A medical device includes a cavity communicable with a body to deliver or to receive a fluid, and a radiation source configured to expose a portion of the cavity to radiation.

Abstract: A medical device known as an implantable therapeutic substance infusion device is configured for implanting in humans to deliver a therapeutic substance such as pharmaceutical compositions, genetic materials, and biologics to treat a variety of medical conditions such as pain, spastisity, cancer, and many other conditions. The therapeutic substance infusion device has a piston pump with an anti-cavitation valve to reduce gas formation, increase accuracy, improve efficiency and has many other improvements. The therapeutic substance infusion device has a housing, a therapeutic substance reservoir, a power source carried in the housing, electronics, a piston pump, an inlet valve, and anti-cavitation valve. The piston pump is configured for pumping therapeutic substance from the therapeutic substance reservoir through an infusion port at a programmed rate.

Abstract: The invention is directed to a dose control module for manipulating the dosage of one or more pharmaceutical solutions emanating from an implantable drug infusion pump. The dose control module has a processor and other circuitry for manipulating flow valves and other dose manipulators. Effluent catheters from one or more implantable drug infusion pumps may be connected to the dose control module. The dose control module may direct the effluent pharmaceutical solution to one or more catheters. These catheters direct the pharmaceutical solutions to treatment locations. The invention is also directed to induction coil valves for use in or with the dose control module. The use of induction coils permits the dose control module to determine valve position and counteract large directional magnetic fields produced by MRIs.

Abstract: The present invention generally relates to medical devices. Specifically, the invention pertains to implantable medical devices that produces gaseous agents from precursors and releases them into the body. More specifically, the invention provides for the controlled release of the gaseous agent to the body to produce a local or systemic therapeutic effect.

Abstract: An implantable dual chambered catheter device includes a first chamber and a second chamber integrally joined. The first chamber includes a hollow first elastomeric member contained within a first slotted outer housing. A first end of the first elastomeric member is fitted with a first end cap shaped and dimensioned to accept conventional catheter tubes and the second end of the first elastomeric member is closed. The second chamber includes a hollow second elastomeric member contained within a second slotted outer housing. A first end of the second elastomeric member is fitted with a second end cap shaped and dimensioned to accept conventional catheter tubes and the second end of the second elastomeric member is closed. Needle access to the first and second chambers of the implantable catheter device is through respective slots formed within the first and second outer housings.

Abstract: There is disclosed method and apparatus for retaining a reservoir for a therapeutic agent between the scalp and cranium of a subject, including providing a deformable pouch or rigid cylinder for dispensing the therapeutic agent from the reservoir to a location in the body of the subject. In one embodiment, a pump is used to pump the agent from the reservoir to the location in the subject's body. In another example embodiment, there is provided method and apparatus for forming at least one cavity in the cranium of the subject, and placing at least a portion of the pump in the cavity. Power is applied to the pump in a variety of ways.

Abstract: Valved ports for accessing blood vessels and other body lumens include a lock mechanism which locks the valve fully open when a needle or other access tube is placed into the port. The lock mechanism includes a latch typically comprising one or more laterally deflectable elements, such as a pair of opposed balls. The deflected elements are pushed outwardly by the needle to engage a recess in the port which locks the valve open until the needle is removed.

Abstract: Implantable devices for controlled delivery of a drug are provided which include a substrate; at least two reservoirs in the substrate, each reservoir having an opening; at least one therapeutic agent in each of the reservoirs; a reservoir cap sealing each opening; a mechanical rupturing mechanism which moves into contact with and ruptures the reservoir cap to permit release the therapeutic agent from the reservoir through the opening; and a mixing chamber adjacent the reservoirs, wherein upon release of the therapeutic agent from at least one of the reservoirs, the therapeutic agent is combined with a carrier fluid in the mixing chamber and then transported to a delivery site in a human or animal.

Abstract: An orthogonal arterial catheter preferably includes a hub and a cannula. The hub preferably protects the cannula from potential kinking and shearing forces because the cannula upon exiting a patient's body enters the hub. The hub preferably provides a passageway through which the hose travels to a connector piece. The connector piece preferably attaches the device to a fluid line such as an arterial line transducer. In addition, the hub preferably includes a port that provides a channel through which a guide wire or a needle may gain access to the cannula. The hub also may include appendages extending from it to suture to the patient.

Abstract: The invention is directed to techniques for monitoring the condition of a patient, such as a patient having congestive heart failure, and appropriately modifying the patient's drug therapy as a function of a pressure in the patient's heart, such as the estimated pulmonary artery diastolic pressure. The drugs may be administered by an implanted drug delivery device. The drug selection, the drug dosage or both may be controlled as a function of the pressure and/or the activity level of the patient.

Abstract: Methods and apparatus for percutaneously accessing an implanted port using an access tube which is periodically introduced to the implanted port. The apparatus is preferably an implantable port having a pressure-responsive valve element. It has been found that repeated passage of the access tube through the same tissue tract to the implantable port reduces patient trauma, with minimized bleeding and reduction in sensitivity. The tract may be initially formed by percutaneously placing a penetrating element through intact skin to the port and leaving the element in place for a time sufficient to created the tract.

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.