Abstract:
A delivery device for inserting a plurality of T-fastener-equipped sutures into a body of a patient in a spaced-apart configuration for the purpose of securing the stomach wall against the abdominal wall, also known as gastropexy, is disclosed. The suture delivery device is configured to deliver multiple sutures using a single needle and without need for reloading, saving time and effort for the clinician and simplifying the suture placement process. In one embodiment, a T-fastener-equipped suture delivery device comprises a housing, a hollow needle extending from the housing, and a plurality of T-fastener-equipped sutures at least partially disposed within one of the needle and the housing. An ejection assembly for successively ejecting the T-fasteners from a distal end of the needle without reloading the delivery device is also included in the housing.
Abstract:
A catheter connection system (32, 340, 394, 634) is defined by a rigid, tubular stem (34, 278, 288, 318, 342, 396, 496, 530, 574, 612) attached at a proximal end thereof to a medical device (016, 222, 246, 274, 312, 366, 636). The stem has one or more engagement barbs (49, 226, 254, 280, 290, 320, 358, 408, 466, 538, 586) encircling and radially, outwardly extending on an exterior surface of the stem. The engagement barbs can be configured having a variety of different sizes and positions. A locking barb (50, 228, 258, 294, 322, 360, 412, 472, 510, 541, 632) also encircles and radially, outwardly extends on the exterior surface of the stem. The locking barb is positioned between the medical device and the engagement barbs. A variety of fastening assemblies (57, 300, 304, 328, 414, 480, 492, 555, 600) are provided for inwardly compressing a portion of a body wall (53, 83, 376) of a selected catheter (54, 58, 244, 302, 330, 386, 416, 474, 518, 544, 594), chosen from two or more catheters, against the engagement barbs or locking barb on the stem when the stem is received in the lumen (54, 58, 244, 302, 330, 386, 416, 474, 518, 544, 594) of the selected catheter. The fastening assemblies create a mechanical joinder and liquid-tight seal between the selected catheter and the stem.
Abstract:
A dual reservoir access port (18) includes a metal casing (28) having open proximal and distal fluid reservoirs (30, 34). A dual prong metal outlet stem (36) projects from the casing (28) on the side of the distal fluid reservoir (34) opposite from the proximal fluid reservoir (30). The distal fluid reservoir (34) is carried within an open basket (32) that is disposed in a receiving cup (31) in the top (118) of the casing (28). A first fluid flow pathway (162) extends from the proximal fluid reservoir (30) to the outlet stem (36) between the basket (32) and the wall (36) of the receiving cup (31). A second fluid flow pathway (80) extends directly from the distal fluid reservoir (34) to the outlet stem (36). A needle-penetrable compound septum (38) disposed against the casing (28) over the open fluid reservoirs (30, 34) is clamped against the casing (28) by a plastic jacket, compressing the periphery of the septum (38) and sealing each of the fluid reservoirs (30, 34).
Abstract:
An elongated access port (18) has a needle-impenetrable housing (40) that includes a base (44) with an upstanding encircling sidewall (70) and a cap (42) with a depending encircling skirt (46) for receiving the sidewall (70). An access aperture (130) encircled by a continuous rim (138) of elongated shape extending through the cap (42) may be elliptical, oval, polygonal, or parabolic-ended. A needle-penetrable septum (91, 168, 170, 172, 178, 180, 182, 187, 202, 232) is installed in the access aperture (130) with the periphery (138, 188, 204) of the septum (91, 168, 170, 172, 178, 180, 182, 187, 202, 232) in sealing engagement with the rim (128) of the access aperture (130). Prior to installation, periphery (138, 188, 204) is geometrically proportional to and larger than the access aperture (130). The relative sizes and shapes of the rim (128) and the periphery (138, 188, 204) produce substantially uniform hydrostatic pressure in regions of the installed septum (91, 168, 170, 172, 178, 180, 182, 187, 202, 232) subjectable to needle penetration. Opposite faces (140, 142) of the septum (91, 168, 170, 172, 178, 180, 182, 187, 202, 232) at the periphery (138, 188, 204) are urged together between the cap (42) and the top (120) of the sidewall (70) of the base (44).
Abstract:
An access port for subcutaneous implantation is disclosed. The access port may include a body for capturing a septum for repeatedly inserting a needle therethrough into a cavity defined within the body. The access port may further 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. The subcutaneously implanted access port may be identified in response to perceiving the at least one feature. In one embodiment, an identification feature is included on a molded insert that is sandwiched between base and cap portions of the access port so as to be visible after implantation via x-ray imaging technology.
Abstract:
A vascular access port (202) has a housing (210) that includes a base (226) and a cap (228) that capture compound septum (310) to seal each of a pair of distinct fluid reservoirs (250, 252) in the base (226). Distinct target domes (212, 214) of the compound septum (310) are interconnected and encircled by a planar septum web (312) and exposed through respective access apertures (234, 236) in the cap (228). An isolation groove (324) and sealing ridges (326, 328) traverse the lower surface (316) of the septum web (312) between the target domes (212, 214). The outlet stem (222, 370, 390) of the access port (202) is integrally formed with the base (226) of the housing (210). An open fluid channel (262, 264) communicates from each fluid reservoir (250, 252) to a corresponding enclosed fluid passageway (272, 276) in the outlet stem (222, 370, 390) and is closed by a portion (352) of the compound septum (310).
Abstract:
An access port for subcutaneous implantation is disclosed. The access port may include a body for capturing a septum for repeatedly inserting a needle therethrough into a cavity defined within the body. The access port may further 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. The subcutaneously implanted access port may be identified in response to perceiving the at least one feature. In one embodiment, an identification feature is included on a molded insert that is sandwiched between base and cap portions of the access port so as to be visible after implantation via x-ray imaging technology.
Abstract:
A vascular access port (202) has a housing (210) that includes a base (226) and a cap (228) that capture compound septum (310) to seal each of a pair of distinct fluid reservoirs (250, 252) in the base (226). Distinct target domes (212, 214) of the compound septum (310) are interconnected and encircled by a planar septum web (312) and exposed through respective access apertures (234, 236) in the cap (228). An isolation groove (324) and sealing ridges (326, 328) traverse the lower surface (316) of the septum web (312) between the target domes (212, 214). The outlet stem (222, 370, 390) of the access port (202) is integrally formed with the base (226) of the housing (210). An open fluid channel (262, 264) communicates from each fluid reservoir (250, 252) to a corresponding enclosed fluid passageway (272, 276) in the outlet stem (222, 370, 390) and is closed by a portion (352) of the compound septum (310).