FR2740977A1 - Supple implantable tubular chamber for anatomical duct - Google Patents
Supple implantable tubular chamber for anatomical duct Download PDFInfo
- Publication number
- FR2740977A1 FR2740977A1 FR9513682A FR9513682A FR2740977A1 FR 2740977 A1 FR2740977 A1 FR 2740977A1 FR 9513682 A FR9513682 A FR 9513682A FR 9513682 A FR9513682 A FR 9513682A FR 2740977 A1 FR2740977 A1 FR 2740977A1
- Authority
- FR
- France
- Prior art keywords
- chamber
- catheter
- base
- tubular
- chamber according
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Pending
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Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M39/00—Tubes, tube connectors, tube couplings, valves, access sites or the like, specially adapted for medical use
- A61M39/02—Access sites
- A61M39/0208—Subcutaneous access sites for injecting or removing fluids
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M39/00—Tubes, tube connectors, tube couplings, valves, access sites or the like, specially adapted for medical use
- A61M39/02—Access sites
- A61M39/0208—Subcutaneous access sites for injecting or removing fluids
- A61M2039/0211—Subcutaneous access sites for injecting or removing fluids with multiple chambers in a single site
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M39/00—Tubes, tube connectors, tube couplings, valves, access sites or the like, specially adapted for medical use
- A61M39/02—Access sites
- A61M39/0208—Subcutaneous access sites for injecting or removing fluids
- A61M2039/022—Subcutaneous access sites for injecting or removing fluids being accessible from all sides, e.g. due to a cylindrically-shaped septum
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M39/00—Tubes, tube connectors, tube couplings, valves, access sites or the like, specially adapted for medical use
- A61M39/02—Access sites
- A61M39/0208—Subcutaneous access sites for injecting or removing fluids
- A61M2039/0223—Subcutaneous access sites for injecting or removing fluids having means for anchoring the subcutaneous access site
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M39/00—Tubes, tube connectors, tube couplings, valves, access sites or the like, specially adapted for medical use
- A61M39/02—Access sites
- A61M39/0208—Subcutaneous access sites for injecting or removing fluids
- A61M2039/0226—Subcutaneous access sites for injecting or removing fluids having means for protecting the interior of the access site from damage due to the insertion of a needle
Landscapes
- Health & Medical Sciences (AREA)
- Heart & Thoracic Surgery (AREA)
- Pulmonology (AREA)
- Engineering & Computer Science (AREA)
- Anesthesiology (AREA)
- Biomedical Technology (AREA)
- Hematology (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Media Introduction/Drainage Providing Device (AREA)
Abstract
Description
CHAMBRE IMPLANTABLE POUR ACCES A UNE FORME ANATHOMIQUE
PAR VOIE TRANSCUTANEE
La présente invention concerne une chambre implantable de connexions anatomiques totalement en silicone ainsi que son procédé de mise en place et d'utilisation.IMPLANTABLE CHAMBER FOR ACCESS TO ANATHOMIC SHAPE
BY TRANSCUTANEOUS WAY
The present invention relates to an implantable chamber of anatomical connections made entirely of silicone and to its method of installation and use.
Plus particulièrement, quoique non exclusivement, la chambre conforme à la présente invention est destinée à recevoir et conduire des liquides en étant reliée fonctionnellement à un conduit anatomique par un tube fixé d'une part à cette chambre et d'autre part à ce conduit Elle permet ainsi la distribution de produits en étant elle même alimentée par voie transcutanée grâce à une aiguille spécialement aménagée pour éviter le percement définitif de la dite chambre. More particularly, although not exclusively, the chamber according to the present invention is intended to receive and conduct liquids by being functionally connected to an anatomical conduit by a tube fixed on the one hand to this chamber and on the other hand to this conduit It thus allows the distribution of products while being itself supplied by the transcutaneous route thanks to a needle specially arranged to avoid the final piercing of said chamber.
Cette invention vise également un procédé pour l'introduction et le positionnement de la dite chambre. This invention also relates to a method for the introduction and positioning of said chamber.
On sait que pour administrer des produits liquides dans le corps il est nécessaire d'accéder soit aux tissus sous cutanés, soit à un organe, soit à un conduit anatomique. Dans de tels conduits anatomiques on y introduit par voie transcutanée, chirurgicale ou endoscopique une aiguille, un trocart, un cathéter ou tout autre système de connexion avec l'extérieur. It is known that to administer liquid products into the body it is necessary to access either the subcutaneous tissues, or an organ, or an anatomical conduit. In such anatomical conduits there is introduced by transcutaneous, surgical or endoscopic route a needle, a trocar, a catheter or any other system of connection with the outside.
On a remarqué que chez certains patients il était quelquefois très difficile pour des raisons très diverses de pouvoir accéder correctement et aisément par ponction aux dits conduits anatomiques ce qui peut par exemple être le cas pour un accès vasculaire. It has been noted that in certain patients it is sometimes very difficult for very diverse reasons to be able to access correctly and easily by puncture with the said anatomical conduits which can for example be the case for a vascular access.
La présente invention a notamment et d'une manière non limitative ,pour objet de remédier à tous ces inconvénients par son utilisation qui permet de procéder à ces types d'injections ou de prélèvements en ne traversant que la peau pour accéder aux sites visés via la dite chambre. The present invention has in particular and in a nonlimiting manner, the object of remedying all these drawbacks by its use which makes it possible to carry out these types of injections or samples by crossing only the skin to access the targeted sites via the said room.
On connaît différents types de systèmes analogues tous forts différents en formes ,tailles et dimensions, mais la mise en place de ces dites chambre est très difficile car, outre qu'elles soient en matières rigides: métal ou matière plastique, elles sont de par leurs formes, très peux maniables dans le sens ou il est nécessaire de tenir compte de leur diamètre extérieur apparent et leur rigidité pour leur positionnement sous la peau. De plus leur conception d'accès en piqûre verticale ne facilite pas cette action car le geste traditionnel de la profession est une piqûre tangentielle au tissus cutané facilitant le repérage et le positionnement des conduits morphologiques. En outre la répétition des appuis verticaux à chaque injection arrive quelque fois à provoquer des lésions des tissus sous les dites chambres.De même leurs formes de fonctions verticales occupent un volume tel qu'il peut provoquer des gènes importantes au patient. We know different types of similar systems, all very different in shape, size and size, but the installation of these said chambers is very difficult because, in addition to being made of rigid materials: metal or plastic, they are due to their shapes, very handy in the sense that it is necessary to take into account their apparent outside diameter and their rigidity for their positioning under the skin. In addition, their design for vertical puncture access does not facilitate this action because the traditional gesture of the profession is a tangential puncture to the skin tissue facilitating the identification and positioning of the morphological conduits. In addition the repetition of the vertical supports with each injection sometimes happens to cause lesions of the tissues under the said chambers. Likewise their forms of vertical functions occupy a volume such that it can cause important genes to the patient.
Entre autre la présente invention a notamment pour objet de pallier à ces graves inconvénients de manipulation ,d'encombrement et mise en place.Among other things, the present invention aims in particular to alleviate these serious drawbacks of handling, space and installation.
A ces fins l'invention ici décrite remédie à ces inadaptations en offrant une forme anatomique dans le fait qu'elle est en cylindre aplati à sa base et de forme oblongue allongée comme les conduits aux quels elle doit donner accès et elle offre une minceur de paroi facilitant son introduction par l'incision cutanée. Cette base étant suffisamment large et épaisse pour éviter tout mouve- ments de renversement, et elle est munie de 4 perforations destinées à recevoir des fils de suture pour assurer sa fixation. For these purposes, the invention described here remedies these inadequacies by offering an anatomical shape in the fact that it is in a flattened cylinder at its base and of elongated oblong shape like the conduits to which it must give access and it offers a thinness of wall facilitating its introduction through the skin incision. This base being sufficiently wide and thick to avoid any overturning movements, and it is provided with 4 perforations intended to receive suture threads to ensure its fixation.
Cette chambre est aussi particulière en ce que sa conception, objet de ce brevet, permet d'aligner parfaitement en longitudinal et en vertical le réservoir et le canal du cathéter limitant ainsi toutes zones mortes susceptibles de recevoir des résidus. De plus il est à remarquer que cet alignement rectiligne entre la chambre et le cathéter peut permettre le passage en droite ligne au travers de l'opercule de la chambre (fig. 1) de tout instrument ou accessoire pouvant être utile comme par exemple un deuxième cathéter interne à celui de la chambre elle même. This chamber is also special in that its design, which is the subject of this patent, allows the reservoir and the catheter channel to be aligned perfectly longitudinally and vertically, thus limiting any dead zones liable to receive residues. In addition, it should be noted that this rectilinear alignment between the chamber and the catheter can allow passage in a straight line through the chamber seal (fig. 1) of any instrument or accessory which may be useful, such as a second internal catheter to that of the chamber itself.
Cette invention est aussi remarquable en ce qu'elle est totalement conçue en une matière souple, élastique, et biocompatible comme par exemple l'élasto- mère de silicone. This invention is also remarkable in that it is completely designed in a flexible, elastic, and biocompatible material such as for example the silicone elastomer.
Une variante possible consiste en une conception de la protection rigide externe à la dite chambre et servant de base comme montré en coupe (fig. 2). A possible variant consists of a design of the rigid protection external to said chamber and serving as a base as shown in section (fig. 2).
Le dessin du réservoir défini en forme de cigare à base aplatie et élargie est complété intérieurement par un très mince profil de métal ou de plastique rigide empêchant le passage éventuel de l'aiguille au travers de la base. The design of the tank defined as a cigar with a flattened and enlarged base is completed internally by a very thin profile of metal or rigid plastic preventing the possible passage of the needle through the base.
Ainsi cette chambre en forme de conduit anatomique élargi et aplati offre une surface utilisable pour les piqûres très largement supérieure aux modèles connus et orienté dans le même sens anatomique que la morphologie. Thus this chamber in the shape of an enlarged and flattened anatomical conduit offers a usable surface for punctures which is far superior to known models and oriented in the same anatomical direction as the morphology.
De plus cette partie supérieure destinée à recevoir les piqûres possède des striures longitudinales en apparence destinées à rigidifier cette surface mais aussi à éviter le glissement de l'aiguille venant à son contact. In addition, this upper part intended to receive the punctures has longitudinal ridges which are apparently intended to stiffen this surface but also to prevent the needle coming into contact with it.
Cette invention est encore remarquable en ce qu'elle n'est fabriquée qu'en trois parties: Le réservoir proprement dit d'un seul bloc (A fig. 1) avec sa base, un bouchon (B fig. 2) venant fermer cette chambre par collage, ce dit bouchon comportant un passage destiné à recevoir le cathéter (C fig. 1) en prolongement exact du réservoir; enfin une protection intérieure rigide (P fig. 1) empechant la traversée par l'aiguille de la paroi inférieure de la chambre. This invention is still remarkable in that it is only manufactured in three parts: The reservoir itself in one piece (A fig. 1) with its base, a cap (B fig. 2) closing this gluing chamber, this plug having a passage intended to receive the catheter (C fig. 1) in exact extension of the reservoir; finally a rigid interior protection (P fig. 1) preventing the needle from crossing the lower wall of the chamber.
Le cathéter qui y est adjoint peut être solidaire, de diamètre et de longueur variable suivant les applications, mais peut également être amovible et connecté par un raccord. The catheter attached to it can be integral, of variable diameter and length depending on the application, but can also be removable and connected by a connector.
La présente invention présente ici donc un ensemble particulièrement adapté en forme et en utilisation à sa destination morphologique et anatomique. The present invention therefore here presents an assembly which is particularly suitable in form and in use for its morphological and anatomical destination.
Les visées thérapeutiques, caractéristiques techniques. et avantages sus décrits seront mieux compris par les figures et dessins annexés identifiant parfaitement toutes les parties du système exclusif de disposition la chambre longitudinale, souple, abordable sur une grande surface et de faible hauteur,l'alignement rectiligne entre la chambre et le cathèter et le procédé développé pour son positionnement.Therapeutic aims, technical characteristics. and advantages described above will be better understood by the appended figures and drawings perfectly identifying all the parts of the exclusive arrangement system the longitudinal chamber, flexible, affordable over a large area and of low height, the rectilinear alignment between the chamber and the catheter and the process developed for its positioning.
Figure 1 : Vue de dessus d'une exécution selon l'invention montrant la chambre (A fig. 1)
Figure 2 : Vue en coupe longitudinale montrant les alignements spéciaux suivant l'axe XX' (fig. 1).Figure 1: Top view of an embodiment according to the invention showing the chamber (A fig. 1)
Figure 2: View in longitudinal section showing the special alignments along the XX 'axis (fig. 1).
Figure 3 ; Vue en coupe transversale montrant les arrangements des diffe rents constituants: (A: chambre-réservoir - B: Bouchon porte cathèter -P:
Protection interne anti perçage
Figure 4: Vue de détail agrandie de cette coupe montrant les striures (S Fig. 4)
Figure 5 : Vue de détail de la partie portant la connections du cathéter (R fig. 2).Figure 3; Cross-section view showing the arrangements of the different constituents: (A: reservoir-chamber - B: Catheter holder plug -P:
Internal protection against drilling
Figure 4: Enlarged detail view of this section showing the striations (S Fig. 4)
Figure 5: Detail view of the part carrying the catheter connections (R fig. 2).
En se reffèrant aux différents points ci dessus, l'invention peut en fonction de sa destination anatomique, être adaptée en longueurs, diamètres, formes, orientations, nombre de chambres et matériaux, par exemple adopter une forme bi réservoir reliés par un Y. Ou une extension en disposant deux chambres sur la même base (fig. 6) et dont le cathéter (H) de la deuxième chambre (F)passe au travers de la première chambre (T) jusqu'a venir courir internement concentrique au cathéter (K) de la première chambre (T). Dans sa traversée de cette première chambre (T) ce cathéter (H) possède une protection rigide en forme de tube concentrique sur sa surface extendeur qui lui évite tout percement par l'aiguille d'injection ou de prélèvement. By referring to the different points above, the invention can, depending on its anatomical destination, be adapted in lengths, diameters, shapes, orientations, number of chambers and materials, for example adopting a bi-reservoir shape connected by a Y. Or an extension by having two chambers on the same base (fig. 6) and whose catheter (H) of the second chamber (F) passes through the first chamber (T) until it comes to run internally concentric with the catheter (K ) of the first chamber (T). In its passage through this first chamber (T) this catheter (H) has a rigid protection in the form of a concentric tube on its extender surface which prevents it from being pierced by the injection or sampling needle.
Ce dernier dispositif est remarquable en ce qu'il peut permettre l'administration de deux produits différents qui ne pourront ainsi se mélanger tant que à l'intérieur du système. Le double cathéter concentrique pourra être aménagé de telle sorte qu'il pourra se scinder en deux: Le cathéter interne ressortant en un point donné du cathèter externe (Fig. 7). This last device is remarkable in that it can allow the administration of two different products which cannot thus be mixed as long as inside the system. The double concentric catheter can be arranged so that it can split into two: The internal catheter emerging at a given point from the external catheter (Fig. 7).
Claims (6)
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
FR9513682A FR2740977A1 (en) | 1995-11-13 | 1995-11-13 | Supple implantable tubular chamber for anatomical duct |
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
FR9513682A FR2740977A1 (en) | 1995-11-13 | 1995-11-13 | Supple implantable tubular chamber for anatomical duct |
Publications (1)
Publication Number | Publication Date |
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FR2740977A1 true FR2740977A1 (en) | 1997-05-16 |
Family
ID=9484692
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
FR9513682A Pending FR2740977A1 (en) | 1995-11-13 | 1995-11-13 | Supple implantable tubular chamber for anatomical duct |
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FR (1) | FR2740977A1 (en) |
Cited By (17)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
FR2851168A1 (en) * | 2003-02-13 | 2004-08-20 | Jean Francois Chantriaux | Syringe implant, for chemotherapy or a medication pump or an artificial sphincter, has a reservoir with walls of a biocompatible silicon plastics which can be pierced repeatedly without loss of sealing |
WO2006021695A1 (en) * | 2004-08-19 | 2006-03-02 | Companie Europeenne D'etude Et De Recherche De Dispositifs Pour L'implantation Par Laparoscopie | Implantable medical site |
US8398654B2 (en) | 2008-04-17 | 2013-03-19 | Allergan, Inc. | Implantable access port device and attachment system |
US8409221B2 (en) | 2008-04-17 | 2013-04-02 | Allergan, Inc. | Implantable access port device having a safety cap |
US8506532B2 (en) | 2009-08-26 | 2013-08-13 | Allergan, Inc. | System including access port and applicator tool |
US8708979B2 (en) | 2009-08-26 | 2014-04-29 | Apollo Endosurgery, Inc. | Implantable coupling device |
US8715158B2 (en) | 2009-08-26 | 2014-05-06 | Apollo Endosurgery, Inc. | Implantable bottom exit port |
US8801597B2 (en) | 2011-08-25 | 2014-08-12 | Apollo Endosurgery, Inc. | Implantable access port with mesh attachment rivets |
US8821373B2 (en) | 2011-05-10 | 2014-09-02 | Apollo Endosurgery, Inc. | Directionless (orientation independent) needle injection port |
US8858421B2 (en) | 2011-11-15 | 2014-10-14 | Apollo Endosurgery, Inc. | Interior needle stick guard stems for tubes |
US8882728B2 (en) | 2010-02-10 | 2014-11-11 | Apollo Endosurgery, Inc. | Implantable injection port |
US8882655B2 (en) | 2010-09-14 | 2014-11-11 | Apollo Endosurgery, Inc. | Implantable access port system |
US8992415B2 (en) | 2010-04-30 | 2015-03-31 | Apollo Endosurgery, Inc. | Implantable device to protect tubing from puncture |
US9089395B2 (en) | 2011-11-16 | 2015-07-28 | Appolo Endosurgery, Inc. | Pre-loaded septum for use with an access port |
US9125718B2 (en) | 2010-04-30 | 2015-09-08 | Apollo Endosurgery, Inc. | Electronically enhanced access port for a fluid filled implant |
US9192501B2 (en) | 2010-04-30 | 2015-11-24 | Apollo Endosurgery, Inc. | Remotely powered remotely adjustable gastric band system |
US9199069B2 (en) | 2011-10-20 | 2015-12-01 | Apollo Endosurgery, Inc. | Implantable injection port |
-
1995
- 1995-11-13 FR FR9513682A patent/FR2740977A1/en active Pending
Cited By (19)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
FR2851168A1 (en) * | 2003-02-13 | 2004-08-20 | Jean Francois Chantriaux | Syringe implant, for chemotherapy or a medication pump or an artificial sphincter, has a reservoir with walls of a biocompatible silicon plastics which can be pierced repeatedly without loss of sealing |
WO2006021695A1 (en) * | 2004-08-19 | 2006-03-02 | Companie Europeenne D'etude Et De Recherche De Dispositifs Pour L'implantation Par Laparoscopie | Implantable medical site |
US8398654B2 (en) | 2008-04-17 | 2013-03-19 | Allergan, Inc. | Implantable access port device and attachment system |
US8409221B2 (en) | 2008-04-17 | 2013-04-02 | Allergan, Inc. | Implantable access port device having a safety cap |
US9023063B2 (en) | 2008-04-17 | 2015-05-05 | Apollo Endosurgery, Inc. | Implantable access port device having a safety cap |
US9023062B2 (en) | 2008-04-17 | 2015-05-05 | Apollo Endosurgery, Inc. | Implantable access port device and attachment system |
US8506532B2 (en) | 2009-08-26 | 2013-08-13 | Allergan, Inc. | System including access port and applicator tool |
US8708979B2 (en) | 2009-08-26 | 2014-04-29 | Apollo Endosurgery, Inc. | Implantable coupling device |
US8715158B2 (en) | 2009-08-26 | 2014-05-06 | Apollo Endosurgery, Inc. | Implantable bottom exit port |
US8882728B2 (en) | 2010-02-10 | 2014-11-11 | Apollo Endosurgery, Inc. | Implantable injection port |
US8992415B2 (en) | 2010-04-30 | 2015-03-31 | Apollo Endosurgery, Inc. | Implantable device to protect tubing from puncture |
US9125718B2 (en) | 2010-04-30 | 2015-09-08 | Apollo Endosurgery, Inc. | Electronically enhanced access port for a fluid filled implant |
US9192501B2 (en) | 2010-04-30 | 2015-11-24 | Apollo Endosurgery, Inc. | Remotely powered remotely adjustable gastric band system |
US8882655B2 (en) | 2010-09-14 | 2014-11-11 | Apollo Endosurgery, Inc. | Implantable access port system |
US8821373B2 (en) | 2011-05-10 | 2014-09-02 | Apollo Endosurgery, Inc. | Directionless (orientation independent) needle injection port |
US8801597B2 (en) | 2011-08-25 | 2014-08-12 | Apollo Endosurgery, Inc. | Implantable access port with mesh attachment rivets |
US9199069B2 (en) | 2011-10-20 | 2015-12-01 | Apollo Endosurgery, Inc. | Implantable injection port |
US8858421B2 (en) | 2011-11-15 | 2014-10-14 | Apollo Endosurgery, Inc. | Interior needle stick guard stems for tubes |
US9089395B2 (en) | 2011-11-16 | 2015-07-28 | Appolo Endosurgery, Inc. | Pre-loaded septum for use with an access port |
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