Abstract: A venous access port assembly having a housing base with a discharge port, a septum and a cap. An interior reservoir is defined by a well in the housing base and a bottom of the septum, and a passageway extends from the reservoir through the discharge port. The housing base includes a base flange having integrally molded therein indicia identifying an attribute of the assembly. The indicia could be formed of base flange material, or could be formed by voids in the base flange material. If of plastic material, the molded indicia could be applied with a radiopaque agent, thereby allowing the indicia (“CT”) to appear on an X-ray of the patient in a manner informing a practitioner of a particular attribute of the assembly.

Abstract: A number of parameters related to the operation of a fluid delivery device are determined based on pressures within the device sensed using multiple pressure sensors. In one example, the volume of therapeutic fluid within a reservoir of a fluid delivery device is estimated based on a measured pressure differential. In another example, the rate at which a therapeutic fluid is added to or removed from the reservoir is estimated based on the measured pressure differential.

Abstract: An apparatus for use with a fluid cartridge is disclosed. The apparatus includes a percutaneous port including an interior configured to receive the fluid cartridge, an implantable operative portion operably connected to the percutaneous port, a cartridge sensor configured to sense movement of the fluid cartridge relative to the percutaneous port, and a controller.

Abstract: A fluid cartridge including a housing, a needle extending from the housing and a plurality of circumferentially spaced sensible members carried by the housing such that each of the sensible members is circumferentially spaced from the other sensible members, and apparatus including such a cartridge in combination with a partially implantable medical device.

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: In some preferred embodiments, without limitation, the present invention comprises an implantable, intracranial neural interface node which is an integrated and minimally invasive platform system and supports cross-modal neural interfaces to the cerebrum and other associated structures in the central nervous system. The neural interfaces comprise electrical and chemical interfaces for neural recording, electrical stimulation, chemical delivery, chemical sensing, chemical sampling, cell delivery, genetic material delivery and/or other functions of interest.

Abstract: A drug pump including a housing, reservoir, access port, flow restrictor mechanism, and refill port. The housing defines a discharge outlet, and maintains the reservoir in fluid communication with the refill port. The access port is fluidly connected to the discharge outlet. The flow restrictor mechanism is fluidly connected between the discharge outlet and the access port, positioned to establish outflow and inflow directions. The flow restrictor mechanism has flow restriction characteristics in the outflow direction that differ from flow restriction characteristics in the inflow direction. The flow restrictor mechanism partially restricts fluid flow in the outflow direction such that a clinician can sense a difference between an available injection rate through the access port as compared to through the refill port. Further, the flow restrictor mechanism does not overtly impede fluid withdrawal procedures via the access port.

Abstract: A method and system for cleaning foreign material from a fluid reservoir of an implantable medical device, the fluid reservoir being substantially enclosed in an interior portion of the implantable device and accessible from an environment exterior of the implantable device through a penetrable septum. An elongated member having a first end and a second end is engaged with a source of ultrasonic energy capable of imparting vibrations to the first end. The septum is penetrated by the elongated member in a manner such that the first end extends into the fluid reservoir, and the second end does not extend into the reservoir. The ultrasonic energy source is activated to impart vibrations into the reservoir via the elongated member first end, in an amount sufficient to break up the foreign material into particulates, which can then be removed from the reservoir.

Abstract: An implantable medical device for delivering a therapeutic substance including a housing and a volume sensor assembly. The housing includes a stationary wall and maintains a reservoir containing the therapeutic substance and including a base wall movable relative to the stationary wall such that reservoir volume is a function of a spacing between the base wall and the stationary wall. The volume sensor assembly includes a cap, a shaft, a target, and circuitry. The cap defines a passage extending from an open end, and is mounted to the stationary wall such that the open end is open relative to a stationary wall inner face. The shaft has a first end attached to the base wall and a second end maintaining the target otherwise movably arranged within the passage. The circuitry generates information indicative of a longitudinal position of the target relative to the cap, and thus of the reservoir volume.

Abstract: A single or multi-port vascular access device including one or more reservoirs each covered by a needle-penetrable, self-sealing septum. The one or more reservoirs each open to an outlet in a stem to which the catheter is attached. The reservoir may be generally circular or ellipsoid in shape and large enough so that fluid movement into and out of the needle is unimpeded. In order to maximize flow between the reservoir and catheter and to minimize any regions of impeded or low fluid flow where coagulation or cell shearing may occur, the fluid passage leading from the reservoir through the outlet into the catheter is defined by unique tapered and tangential geometries. For example, the outlet surface may be globally tangent along the entire reservoir surface, or may be globally tangent along only one side of the reservoir surface.

Abstract: A surgical fastening system for implantable devices such as injection port systems. 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: An implantable port for accessing internal body structures, the port comprises a proximal housing including an opening providing access to an interior of the port and a distal housing adapted for assembly with the proximal housing, the distal housing including a reservoir which, when the distal housing is mated with the proximal housing is in fluid communication with the opening of the proximal housing in combination with a radiopaque element in one of the proximal and distal housings, a shape of the radiopaque element identifying, when imaged, a structural characteristic of the port not otherwise identifiable visually.

Abstract: An extractable device is used to insert a medicinal filling into an animal tissue. The device comprises a filling member and a pasty medicine. The filling member is made of a flexible and permeable wall and is provided with a holding portion and an injection port via which the pasty medicine is injected into the holding portion after the filling member is inserted into the animal tissue. The holding portion is provided with an opening which is releasably lashed by one end of one or more threads so as to make the opening leakproof. Upon completion of solidification of the pasty medicine in the holding portion of the filling member, other end of the thread is pulled to unlash the opening of the holding portion, thereby enabling the filling member to be extracted from the animal tissue so as to leave only the medicine in the animal tissue.

Abstract: A venous access port assembly (10) having a housing base (28) with a discharge port (16), a septum (14) and a cap (48), with an interior reservoir (22). The housing base (28) is provided with X-ray discernable indicia (100,200) to identify an attribute of the assembly (10) after its implantation and clearly appear on an X-ray of the patient in a manner informing the radiologist or technologist and the medical practitioner of that particular attribute. Such indicia can be depicted as cutouts (102) through a disc of radiopaque material (100) where the cutouts are in the form of alphabetical letters such as “CT”, or can be a set (200) of discrete elements (202) of radiopaque material, that are affixed along the bottom surface of the housing base or embedded within the thickness of the bottom housing wall.

Abstract: The invention relates to a system for injecting a liquid into a body, comprising an implantable chamber disposed under the skin and an injection device including: a base bearing an injection needle having a free end that is intended to be inserted into the chamber; an injection conduit connected to the needle; means for extracting the needle; means that can be actuated to generate excess pressure in the injection conduit; synchronization means between the extraction means and the generation means for actuating the generation means during a needle extraction phase. The synchronization means can essentially only actuate the generation means when the free end of the needle is located in the chamber during the needle extraction phase.

Abstract: Low profile inlet valve embodiments for a piston pump therapeutic substance infusion device are disclosed that reduce dead volume, occupies little residential space, operates rapidly, and have 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, and an inlet valve. The piston pump is configured for pumping therapeutic substance from the therapeutic substance reservoir through an infusion port at a programmed rate. The inlet valve is in fluid communication with a reservoir outlet to control the flow of therapeutic substance into the piston pump. The inlet valve has a substantially coplanar valve surface and valve spring. Many embodiments of the low profile inlet valve and its methods of operation are possible.

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: Devices, systems, and methods are disclosed herein for modulating the levels of one or more target components in the blood and/or lymph of a vertebrate subject for treatment of a disease or condition in the vertebrate subject. An implantable device is provided which includes a body defining at least one lumen configured for fluid flow; at least one first reservoir in communication with at least one lumen; one or more energy sources configured to provide energy to elicit one or more signal responses associated with one or more labels that bind to one or more target components in one or more of blood fluid or lymph fluid of the vertebrate subject; one or more sensors configured to detect the one or more signal responses associated with one or more labeled target components; and one or more reactive components in communication with the at least one lumen for release responsive to the one or more sensors.

Abstract: A system for perfusion management that monitors, maintains, diagnoses, or treats perfusion deficiencies.

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: A system for perfusion management that monitors, maintains, diagnoses, or treats perfusion deficiencies.

Abstract: A system for perfusion management that monitors, maintains, diagnoses, or treats perfusion deficiencies.

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: A system for perfusion management that monitors, maintains, diagnoses, or treats perfusion deficiencies.

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: 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: A spinal implant comprising one or more integrated walls spaced apart to define an interior cavity configured to retain bone graft material, and having at least one aperture providing a pathway between the interior cavity and an exterior environment of the implant; wherein at least one of the one or more walls has a lumen therein, the lumen terminating at a post-operatively accessible refill port and at one or more drug delivery ports disposed in a surface of the at least one wall, and configured to allow drugs to flow from the refill port to the one or more delivery ports.

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 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 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: 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: Devices and methods are provided for delivery of a positive inotropic agent to the heart of a patient in need thereof. An epicardial patch includes (i) a backing layer which is impermeable to the positive inotropic agent; and (ii) a drug release layer attached to the backing layer and including the positive inotropic agent and a polymeric membrane material. The polymeric membrane material provides controlled release of the positive inotropic agent to the epicardium to a region of the myocardium and in an amount effective to increase contractility. At least one of the backing layer or the drug release layer includes a tissue coupling portion for affixing the epicardial patch to an area of the epicardial surface. The epicardial patch is dimensioned and compliant to substantially avoid impeding myocardial functionality when affixed to the area of the epicardial surface.

Abstract: The invention relates to an implantable drug reservoir (10) having a cavity (28) enclosed by a sheathing (12) and arranged between a proximal end (14) and a distal end (16) for storing one or more drugs (50), having an outlet opening (24) for the drug(s) (50). The drug(s) (50) can be delivered to a delivery region (70) through a puncture device (20) at one end (16). The invention also relates to a device (100) having a drug reservoir (10).

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: 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 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: A method may include placing a first device on a first side of a skin portion of a subject and transferring a material through the skin portion of the subject from the first device to a subdermal second device disposed on a second side of the skin portion of the subject.

Abstract: A percutaneous biomedical device comprising a body having a lumen extending longitudinally at least partially through the body, an implantable interface region disposed on the body, the implantable interface region having a plurality of radially extending conduits through the body, each of the conduits are in fluid communication with the lumen and in fluid communication with an exit port. The exit ports extrude a skin-interface composition between the subject's skin and the percutaneous biomedical device. Methods for implanting a percutaneous biomedical device includes implanting a percutaneous biomedical device percutaneously in a subject and aligning the exit ports of the implantable interface region between the epidermis and the hypodermis skin layers of the subject.

Abstract: The application discloses devices, systems, kits and methods for treating biliary disease. Devices comprise, for example, a component configurable for deployment between within a cystic duct of a patient which has a proximal end and a distal end. In some embodiments, a lumen may also extend therethrough.

Abstract: The application discloses devices, systems, kits and methods for treating biliary disease. Device comprise, for example, a component configured for deployment to a lumen of a gallbladder or gallbladder duct which has a proximal end and a distal end with a lumen extending therethrough and a fluid or gas delivery apparatus at its distal end.

Abstract: Implantable devices for evaluating body-associated fluid transport structures and methods for using the same are provided. In some instances, the implantable devices include an elongated structure with at least one hermetically sealed integrated circuit sensor stably associated therewith and a transmitter. The devices find use in a variety of different applications, including monitoring the function of various types of body-associated fluid transport structures, such as arteriovenous fistulae, vascular grafts, catheters, cerebrospinal fluid shunts, and implantable central venous access devices.

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: The present invention provides a fluid reservoir comprising a first wall portion formed from a needle-penetrable material, the first wall portion comprising a seal surface. The reservoir further comprises a seal member formed from a needle-penetratable self-sealing material, wherein the seal member has been applied on the seal surface in a liquid state. In this way a liquid reservoir having a self-sealing needle-penetrable access means which can be manufactured in a cost-effective manner is provided.

Abstract: The present invention is directed to a medical device and method for delivering a drug. The medical device includes a deformable body configured to be implanted between a first vertebra and a second vertebra for providing shock absorption and stabilization of the vertebras. The deformable body comprises an impermeable inner layer forming an interior volume and an outer layer at least a portion of which is permeable. The outer layer is at least partially outside the inner layer and forms an exterior volume between the inner and outer layers. The medical device further includes a drug reservoir connected to the deformable body and in fluid communication with the exterior volume. The medical device is capable of delivering the drug from the reservoir into the exterior volume and releasing the drug through the permeable portion of the outer layer.

Abstract: A chamber for the infusion of a medicament. The chamber includes a reservoir, an outer casing having a base wall and a lateral wall, a region for access to the reservoir, and a duct for the diffusion of the medicament. A contour of the base wall is substantially triangular. The casing has a shape tapered in a first direction, and a terminal portion of the diffusion duct extends tranversely, and preferably perpendicularly, to the direction of tapering.

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: 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.