US20070219564A1 - Implanting device and method of using same - Google Patents
Implanting device and method of using same Download PDFInfo
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- US20070219564A1 US20070219564A1 US11/687,968 US68796807A US2007219564A1 US 20070219564 A1 US20070219564 A1 US 20070219564A1 US 68796807 A US68796807 A US 68796807A US 2007219564 A1 US2007219564 A1 US 2007219564A1
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- United States
- Prior art keywords
- cannula
- handle
- actuator
- post
- flexible actuator
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Classifications
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/34—Trocars; Puncturing needles
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- 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
- A61M25/00—Catheters; Hollow probes
- A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
- A61M25/06—Body-piercing guide needles or the like
- A61M25/0612—Devices for protecting the needle; Devices to help insertion of the needle, e.g. wings or holders
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/34—Trocars; Puncturing needles
- A61B17/3468—Trocars; Puncturing needles for implanting or removing devices, e.g. prostheses, implants, seeds, wires
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- 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
- A61M37/00—Other apparatus for introducing media into the body; Percutany, i.e. introducing medicines into the body by diffusion through the skin
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- 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
- A61M37/00—Other apparatus for introducing media into the body; Percutany, i.e. introducing medicines into the body by diffusion through the skin
- A61M37/0069—Devices for implanting pellets, e.g. markers or solid medicaments
Definitions
- a flexible actuator that pushes or pulls at least two guide posts to move the cannula from the extended position to the retracted position to release the object from the cannula may flex between a locked and an unlocked position along a curvilinear path.
Abstract
A device for implanting at least one object beneath the skin of a patient includes a handle for grasping the device during insertion of an object. The handle may have a distal end, a proximal end, and an angled track formed on the handle. The angled track may have a stop at the distal portion that permits securing of the actuator and locks the cannula in a loaded position. A base may be connected to the handle. The base may include a post longitudinally fixed to the handle. The post may extend from the distal end of the handle. A hollow cannula may be positioned coaxially around and longitudinally slidable over the post from an extended position, in which at least one object is retained in the cannula, to a retracted position, in which at least one object is released from the cannula. A flexible actuator may be slidably engaged to the cannula to move the cannula from the extended position the retracted position to release the object from the cannula. The actuator may flex between a locked and an unlocked position.
Description
- This application is a continuation-in-part of U.S. Non-Provisional Application No. 10/406,397 filed Apr. 3, 2003 titled “Implanting Device and Method of Using Same” and U.S. Non-Provisional Application No. 11/531,311 filed Sep. 13, 2006, titled “Implanting Device and Method of Using Same” the contents of which are incorporated herein by reference.
- 1. Technical Field
- The present invention relates generally to an implanting device and a method for inserting implantable objects beneath the skin of a patient. More particularly, the present invention relates to an implanting device which provides improved control of implantable object release due to an angled track located on the base of the implanting device.
- 2. Description of the Related Art
- Drugs may be delivered to patients by a variety of methods including oral intravenous administration, inhalation of aerosols, an epidermal patch, and subcutaneous implants. The method chosen depends, among other things, upon the desired therapeutic concentration of the drug or pharmaceutical to be achieved in the patient and the duration the concentration must be maintained.
- Recently released materials and pharmaceuticals have been developed which allow a drug to be subcutaneously introduced or administered beneath the skin of a patient so that the drug is slowly released over a long period of time. Such implants allow a drug to be dispensed in a relatively uniform dose over many months or years. This method of administering drugs is becoming especially important and popular as a method of administering contraceptives.
- Previously, subcutaneous implants and other types of implants have been inserted beneath the skin by use of a trocar system, which is a two piece system including a cannula and an obdurator. First, an incision is made through the skin and the cannula and obdurator are inserted together through the skin. Next, the obdurator is withdrawn, leaving the cannula in place as a guide for inserting the implant. The implant is inserted through the cannula, and the obdurator is used to push the implant to the end of the cannula. The obdurator is then used to force the implant out of the cannula which the cannula is withdrawn, such that the implant is deposited in the channel previously occupied by the cannula. The cannula and obdurator are then withdrawn completely, leaving the implant in place beneath the skin.
- This trocar insertion process requires substantial expertise in coordinating the pressings of the obdurator and the withdrawn of the cannula to deposit the implant in the channel. If these two processes are not properly coordinated, the implant may be forced into the tissue so that the implant has to make its own channel as it is inserted, Forcing the implant into the tissue causes additional trauma to the tissue and may cause the implant to become damaged by the force exerted by the obdurator. This is especially true for a hydrogel implant. While subcutaneous implantation may be done surgically using a scalpal to make the incision and a trocar system to place the implant, such methods require a physician or other highly trained person. Recently improved instruments for inserting subcutaneous implants have been developed which typically require far less skill to operate, and thus may be better suited for non-surgical physicians and other less skilled individuals, and require less time to perform the implantation procedure.
- U.S. Pat. No. 4,105,030 discloses an implanting apparatus for use in subcutaneously implanting multiple pellets in animals. The apparatus provides a one-handed implanting system that reduces the risk of trauma from forcing the implant into the tissue, and it also reduces contamination. The animal implant apparatus includes a handle, a needle containing the pellets to be implanted, and a rod positioned within the needle for pushing the pellets out of the needle. Once the needle containing the pellets has been inserted subcutaneously, a spring loaded trigger on the handle is activated which causes the needle to be automatically withdrawn by a spring leaving the implanted pellets in place. However, the handle configuration of this implanting device is designed for use in animals, such as cattle, and due to its size and shape, it would be difficult to use for inserting implants subcutaneously in humans. Further, it is not possible to control the motion of the needle in this device because the needle will automatically retract upon activation of the trigger. The complex spring loaded propelling system and trigger of this implant apparatus increase the chances that the device will jam and fail to eject the pellets when required.
- Contraceptive steroids that are implanted subcutaneously are normally imbedded in biologically inert polymers, some of which are biodegradable. The pellets made from such materials are typically long and cylindrical in cross section, and the size of these materials is on the order of the size of a pencil lead. The materials are generally flexible, ranging from somewhat flexible to very flexible nature. See, for example, U.S. Pat. No. 4,451,253, which describes some exemplary contraceptive pellets and an apparatus for individually implanting such pellets subcutaneously.
- The size and shape of an implant pellet are important in determining the rate of delivery of a particular drug from a subcutaneous implant. Practical considerations put constraints on the dimensions of a subcutaneous implant. In particular, the length of an implant is generally limited. A typical implant is on the order of 1 ½ inches long. Longer implants are much more difficult to accurately locate. They are also more susceptible to breakage, which may affect the drug delivery rate and, in general, are simply more cumbersome and cosmetically apparent. Because of this, it is frequently necessary to implant a desired amount of a drug as a plurality of individual, shorter implant pellets rather than as a single longer pellet. Thus, an instrument which can quickly allow a physician or nurse to implant a plurality of pellets with minimal physical and psychological trauma to a patient would be desirable. When implanting several implants, care must be taken to accurately place the implants in a manner such that one does not interfere with the dissolution of the others.
- Embodiments of the present invention include a device which may be used for implanting various pharmaceuticals and therapeutic drug delivery devices. Such implantable objects may include those such as silicone rubber capsules or tubes that contain a synthetic progestin birth control hormone. The flexible tubes maw steadily release a low dose of hormone into the bloodstream.
- One embodiment of the present invention is an implant device for inserting implantable objects subcutaneously into a patient, comprising a handle for grasping the device during insertion of an implantable object and a base connected to the handle. The base comprises a post, a cannula, and a flexible actuator positioned in an angled track. The cannula is positioned coaxially around and is longitudinally slidable over the post from an extended position, where an implantable object is retained in the cannula, to a retracted position, where the implantable object is released from the cannula. A flexible actuator positioned on an angled track in the base is slidably engaged with a boss on the cannula and is used to move the cannula from an extended position to a retracted position to release the implantable object from the cannula; the actuator flexes between a locked and an unlocked position.
- The flexible actuator of the implant device may be locked to prevent movement of the cannula and thereby prevents any undesired dispensing or insertion of implantable objects. By pressing the flexible actuator into a second position (when the actuator is in the track in a distal position with respect to the handle) a locking feature is engaged to prevent retraction of the cannula. The lock may be released by alternately pressing the flexible actuator to a first position.
- The implanting device may further include one or more implantable objects within the cannula. The implanting device may also include a cartridge for holding multiple implantable objects that are sequentially fed into the cannula after an implantable object is dispensed by movement of the actuator and cannula. The cartridge may be removably mounted and have a channel containing an implantable object that is parallel to a central bore of the cannula.
- According to a further aspect of the present invention, a method of inserting a subcutaneously implantable object with an implanting device of the present invention includes inserting a cannula of the implanting device beneath the skin of a patient with an implantable object positioned within the cannula and manually retracting the cannula along the angled track using the flexible actuator to release the implantable object beneath the skin. The implanting device may then be withdrawn from the patient or another implantable object from a cartridge positioned within the cannula may be subsequently inserted. The implanting device used in the method includes a handle, a base and a cannula slidably engaged with a flexible actuator located in an angled track.
- According to another further aspect of the present invention, a kit for inserting an implantable object an maintaining sterile conditions includes an implanting device including a handle and a base connected to the handle, the base comprising a post, a cannula, and a flexible actuator positioned in an angled track, where the cannula is positioned coaxially around and is longitudinally slidable over the post from an extended position, where an implantable object is retained in the cannula, to a retracted position, where the implantable object is released from the cannula, and where the actuator is positioned on an angled track in the base is slidably engaged with a boss on the cannula and is used to move the cannula from an extended position to a retracted position to release the implantable object from the cannula; a cutting device for making an implanting incision in a patient's tissue; supplies for maintaining sterility of the implant insertion process; and wound dressings.
- The implantable object and implanting device of the present invention may be useful for insertion of implants coated with sol-gel coatings. The active agent may be slowly released by the implant or the coating on the implant when placed in watery environments such as blood or tissue. The device may be used to implant any such implant.
- The present invention provides embodiments of an implanting device for inserting implantable objects which provides improved control of implantable object release due to the angled track located on the base of the implanting device. The flexible actuator is positioned on the angled track, which helps to prevent the forcing of the implantable object into the tissue, as such uncontrollable forcing can cause trauma to the tissue and may cause the implant to become damaged.
- According to a further aspect of the present invention a device for implanting at least one object beneath the skin of a patient includes a handle for grasping the device during insertion of an object. The handle may have a distal end, a proximal end, and an angled track formed on the handle. The angled track may have a stop at the distal portion that permits securing of the actuator and locks the cannula in a loaded position. A base may be connected to the handle. The base may include a post longitudinally fixed to the handle. The post may extend from the distal end of the handle. A hollow cannula may be positioned coaxially around and longitudinally slidable over the post from an extended position, in which at least one object is retained in the cannula, to a retracted position, in which at least one object is released from the cannula. A flexible actuator may be slidably engaged to the cannula to move the cannula from the extended position to the retracted position to release the object from the cannula. The actuator may flex between a locked and an unlocked position.
- According to a further aspect of the present invent, a device for implanting at least one object beneath the skin of a patient including a handle for grasping the device during insertion of an object. The handle may have a distal end, a proximal end, and an angled track formed on the handle. A base may be connected to the handle. The base may include a post longitudinally fixed to the handle. The post may extend from the distal end of the handle. A hollow cannula may be positioned coaxially around and longitudinally slidable over the post from an extended position, in which at least one object is retained in the cannula, to a retracted position, in which at least one object is released from the cannula. A flexible actuator that pushes or pulls at least two guide posts to move the cannula from the extended position to the retracted position to release the object from the cannula, may flex between a locked and an unlocked position along a curvilinear path.
- According to a further aspect of the present invent, a method of inserting an object beneath the skin of a patient may include grasping a handle of a device during insertion of an object. The handle may have a distal end, a proximal end, and an angled track formed on the handle. The angled track may have a stop at the distal portion that permits securing of the actuator and locks the cannula in a loaded position. A base may be connected to the handle and the base may include extending a post from the distal end of the handle wherein the post is longitudinally fixed to the handle. A hollow cannula may be positioned coaxially around and longitudinally slidable over the post from an extended position, in which at least one object is retained in the cannula, to a retracted position, in which at least one object is released from the cannula. A flexible actuator may be slidably engaged to the cannula to move the cannula from the extended position to the retracted position to release the object from the cannula. The actuator may flex between a locked and an unlocked position.
- In part, other aspects, features, benefits and advantages of the embodiments of the present invention will be apparent with regard to the following description, appended claims and accompanying drawings where:
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FIG. 1 is an isometric view of an implanting device according to the present invention with the cannula retracted and the flexible actuator is in an unlocked position; -
FIG. 2 is an isometric view of the implanting device with the cannula in a fully extended position with the flexible actuator in a locked position; -
FIG. 3 is an exploded view of an implanting device according to an embodiment of the present invention. -
FIG. 3A is an enlarged exploded view of an implanting device according to an embodiment of the present invention. -
FIG. 4 is a side view of an implanting device according to the present invention with the cannula in a fully extended position with the flexible actuator in a locked position; -
FIG. 5 is a top view of an implanting device according to the present invention with the cannula in a fully extended position with the flexible actuator in a locked position. - Before the present compositions and methods are described, it is to be understood that this invention is not limited to the particular molecules, compositions, methodologies or protocols described, as these may vary. It is also to be understood that the terminology used in the description is for the purpose of describing the particular versions or embodiments only, and is not intended to limit the scope of the present invention which will be limited only by the appended claims.
- It must also be noted that as used herein and in the appended claims, the singular forms “a”, “an”, and “the” include plural reference unless the context clearly dictates otherwise. Thus, for example, reference to a “cell” is a reference to one or more cells and equivalents thereof known to those skilled in the art, and so forth. Unless defined otherwise, all technical and scientific terms used herein have the same meanings as commonly understood by one of ordinary skill in the art. Although any methods and materials similar or equivalent to those described herein can be used in the practice or testing of embodiments of the present invention, the preferred methods, devices, and materials are now described. All publications mentioned herein are incorporated by reference. Nothing herein is to be construed as an admission that the invention is not entitled to antedate such disclosure by virtue of prior invention.
- The present invention provides an implanting device for subcutaneously inserting implantable objects containing beneficial agents, such as pharmaceuticals for the prevention, treatment, and diagnosis of disease. The implanting
device 200 according to one embodiment of the present invention is illustrated in the perspective view inFIG. 1 . The implantingdevice 200 includes ahandle 220, a movable elongated cannula 240 (shown in a retracted position), aflexible actuator button 262 connected to a flexible actuator 260 (shown inFIG. 3 ) for moving thecannula 240 along a post rod 244 (shown inFIG. 3 ), and abase 280. Thebase 280 is distal to thehandle end 222. In the retracted position, thecannula 240 is drawn into the interior of thehandle base 280 by theflexible actuator button 262 as it glides or slides along a graduallycurved path 300 toward the handle end. Theflexible actuator button 262 is guided by anangled track 300 which is non-parallel with respect to the axis of motion of thecannula 240 or the axis of the post rod 244 (shown inFIG. 3 ). Thecannula 240 may be moved with respect to the post rod 244 (shown inFIG. 3 ) andhousing base 280 withcannula guide 340. Movement of theflexible actuator 260 in a direction toward thecannula guide 340 and along thetrack 300 away from thehandle 220 results in extension of thecannula 240 through thecannula guide 340. - In
FIG. 2 the implantingdevice 200 is shown with thecannula 240 in an extended position. Theflexible actuator button 262 is shown distal to thehandle end 222. In this position the flexible actuator may be locked to prevent withdrawal of thecannula 240 and unintended insertion of implantable objects. Movement of theflexible actuator button 262 in a direction away from thecannula guide 340 and along theangled track 300 towards thehandle 220 causes retraction of thecannula 240 and release of an implantable object (not shown) positioned within thebore 242 of the cannula. - Motion of the flexible actuator is along an angled ramp which provides increased precision in control of the movement of the cannula along the post rod axis. In one embodiment, the
flexible actuator 260 follows an obtusely angled ramp throughout its path. This provides the user with the advantage of greater control of insertion of implantable objects. -
FIGS. 3 and 3 A, show an exploded isometric view of the embodiment shown inFIGS. 1 and 2 . INFIG. 3 , the implantingdevice 200 is shown in two portions 200 a and 200 b, which includes ahandle 220 having first andsecond portions base 280 having first andsecond portions cannula guide 340 having first and secondcannula guide portions handle end 222 includinghandle end portions angled track 300 is formed from two opposing recessedtrack walls angled track 300. Within theimplanter handle 220 are portions of aflexible actuator channel 248 a, (and 248 b inhandle 220 b not shown inFIG. 3 ), which, when assembled, form a flexible actuator channel 248 for guiding thetab 268 of the flexible actuator within the assembledimplanter handle 220. - The
flexible actuator 260 inFIG. 3 includes abutton 262, aboss channel 272, a lower guide post 264 (not shownFIG. 3 ),lower guide post 266,thin profile guide 270, andtab 268. Thebutton 260 is seated in thescoop 310. The flexible actuator's guide posts 264 and 266 rest upon, but are not attached to, thecannula guide post 368. Theboss channel 272 receives the guide posts 362 and 364 from the cannula boss 360. Movement of theflexible actuator 260 along theangled track 300, in the direction away from thecannula guide 340 and toward the post boss retainer 248, allows cannula boss guide posts 362 and 364 within theboss channel 272 to remain at a constant position relative to thepost 244, while theboss channel 272 moves relative to them and at the same time pulls thecannula 240 toward the post retainer 248. Theboss channel 272 engages the cannula boss guide posts 362 and 364 and permits a pulling or pushing force to be exerted on thecannula 240, for extension and retraction, as theflexible actuator 260 is moved along theangled track 300. - Flexible
actuator guide post 266 and flexible actuator guide post 264 (not shown inFIG. 3 .) are attached toflexible actuator 260 and rest on top of angled guide ramp 350 b (not shown inFIG. 3 ) andangled guide ramp 350 a respectively. An angled guide ramp 350 is formed by joiningguide ramp portion 350 a shown inFIG. 3 and guide ramp portion 350 b (not shown inFIG. 3 ) together. The flexible actuator guide posts 264 (not shown inFIG. 3 ) and 266 shown inFIG. 3 move parallel to the angled guide ramp 350 b (not shown inFIG. 3 ) and angled guide ramp 350 b respectively translating movement of theflexible actuator 260 along theangled track 300 into movement of theboss channel 272 perpendicular to the axis of thecannula 240 as theflexible actuator 260 is moved toward or away from the post retainer 248. Cannula boss guide posts 366 (not shown inFIG. 3 ) and 368 lie belowlinear guide 352 a and 352 b (not shown inFIG. 1C ) and on top ofbase step 354 a and 354 b (not shown itFIG. 3 ) maintains thecannula 240 in a substantially fixed orientation with respect to thebase 280. - The degree to which movement of the
flexible actuator 260 between any two points along the guide ramp 350 is translated into linear motion of thecannula 242 along thepost 244 depends upon the angle of the base guide ramp 350. The greater the angle that the base guide 350 makes with respect to thepost 244, the more control that may be exerted over lateral movement of thecannula 240. The shape of the baseguide ramp portions 350 a inFIG. 3 and 350 b (not shown inFIG. 3 ) may be a linear or curvilinear. -
Post 244 is coaxially located within cannula bore 242 and is secured to thehousing base 280 by post retainer 248 throughpost boss 246. Thepost 244 is inserted into the end of thecannula 242 where the cannula boss 360 is located and protrudes throughcannula guide 340 which provides support and alignment for thepost 244. The diameter of thecannula guide 340 is made so that movement of thecannula 260 into and out of thebase 280 along thepost 244 occurs without binding or restriction of thecannula 240 with the inner diameter of thecannula guide 340. The diameter of thecannula guide 340 may also be sized so that it prevents entrainment of fluids, particles, and other debris adhering to thecannula 240 from being drawn into theimplanter base 280. - In
FIG. 3A , thelocking feature 299 locks the cannula in the initial loaded position and prevents an unintended release of the implantable object from the device. Thelocking feature 299 provides a stop for the flexible actuator by using the guide posts 264 and 266 to prevent retraction of the cannula. The locking feature's stop secures the flexible actuator by locking the cannula in the initial loaded position and preventing the unintended release of the implantable object from the device. Theflexible actuator 260 is released from the locked position by pressing theflexible actuator button 262 which releases guideposts feature 299. -
FIG. 4 shows a side view of the implanting device of the present invention with the cannula in an extended position. InFIG. 4 , theflexible actuator button 262 is shown distal to thehandle end 222. In this position, the flexible actuator may be locked to prevent withdrawal of thecannula 240 and unintended insertion of implantable objects. Movement of theflexible actuator button 262 in a direction away from thecannula guide 340 and along theangled track 300 towards thehandle 220 causes retraction of thecannula 240 and release of an implantable object (not shown) positioned within thebore 242 of thecannula 240. -
FIG. 5 shows a top view of the implanting device of the present invention with thecannula 240 in an extended position. InFIG. 5 , theflexible actuator button 262 is shown distal to thehandle end 222. In this position, the flexible actuator may be locked to prevent the withdrawal of thecannula 240 and unintended insertion of implantable objects. Movement of theflexible actuator button 262 in a direction away from thecannula guide 340 and along theangled track 300 toward thehandle 220 causes retraction of thecannula 240 and release of an implantable object (not shown) position within thebore 242 of thecannula 240. - The implanting device may be made from molded, cast, machined components or combinations of these. For example the implanter portions 200 a and 200 b may be molded from chemically and mechanically suitable plastics such a polyvinylidine fluoride (PVDF) or ultrahigh molecular weight polyethylene (UPE). The
cannula 240 may be made from a variety of surgically acceptable stainless or titanium alloys, and the post may be made using similar materials or plastics like PVDF. - The implanter handle 220 includes a grasping portion and may fit into the palm of the user's hand. The handle is substantially symmetrical so that the implanting device can be used by either right or left handed users. Extending from the handle is a
base portion 280 which includes atrack 300 in which aflexible actuator 260, using theboss channel 272 and thelower guide posts cannula guide post 368 to extend or retract thecannula 240. Theboss channel 272 and the flexible actuator's lower guide posts 264, 266 are not attached thecannula guide post 364. Thus, theflexible actuator button 262 cannot pivot at the distal end. Also, theboss channel 272 does not pivot around the cannula guide posts 264 and 266. The track is formed by two opposedtrack side walls device post 244, and that form a slot extending through thetrack 300 along a length of the track to receive theactuator 260 andthin profile guide 272. - The
cannula 240 includes a boss fitting at an end proximal to thehandle 220 of the device. The cannula boss 360 is secured around the proximal end of thecannula 240 and providesguide posts flexible actuator 260. The cannula boss 360 may be attached to thecannula 240 in any known manner such as by insert molding, press fitting, adhesive bonding, threading, ultrasonic staking, and the like. - The
flexible actuator 260 includes a channel which receives the cannula boss guide posts 362 and 364 and allows them to slide and move within the channel. Theflexible actuator 260 has athin profile guide 270 which extends through the slot in thetrack 300 and guides theflexible actuator 260 in thetrack 300 as it slides longitudinally along the track. Thethin profile guide 270 of the flexible actuator is connected to anactuator button 262 for engagement by a user finger to move the actuator along theangled track 300. Theactuator button 262 may have a ridged, grooved, or knurled slip surface which may be engaged by the user's thumb. - Referring back to
FIG. 3A , a longitudinal axis passes through a center of thecannula 240 and thepost 244 in the base of the implanting device. The track, along which theflexible actuator 260 moves, is not parallel to this axis along one or more portions of the track; the track may be linear or curvilinear. The track has a distalportion locking feature 299 which provides a stop for the flexible actuator and permits securing of the flexible actuator which locks the cannula in the initial loaded position and prevents unintended release of the implantable object from the device. Lockingfeature 299 has an angled proximal wall to allowguide posts feature 299. Theflexible actuator 260 is released from the locked position by pressing theflexible actuator button 262 which releases guideposts feature 299 and allows sliding theflexible actuation 260 back along its track. Theflexible actuator 260 is slidably engaged to the cannula to move the cannula from the extended position to the retracted position to release the object from the cannula. When theflexible actuator 260 is in the locked position a substantial force may be applied longitudinally on the distal end of thecannula 240 without causing the cannula to retract. - Once the
flexible actuator 260 has been unlocked, further manual pressure on theactuator button 262 in the direction toward thehandle 220 causes the flexible actuator to slide along the track. As the actuator slides in the direction of the handle, thecannula 240 is withdrawn over thepost 244 and one or more implantable objects held stationary by thepost 244 may be released from thecannula 240. Theflexible actuator 260 allows the user to manually control the motion of thecannula 240 throughout the implant insertion process. The angle or slope of the track with respect to the axis of the post permits the user to exert greater control over the motion of the cannula than could be achieved using a linear track to guide the withdrawal of the cannula. - Although the implanting device is preferably a single use device, the implanting device according to the present invention may also be made for reuse. The reusable embodiment of the implanting device will preferably be formed of an autoclavable material known to those skilled in the art for sterilization and reuse.
- The
post 244 is positioned within thebase 280 and is fixed within the proximal end of the base by post retainer 248. The post has a protrusion or boss at one of its ends which engages and secures thepost 244 to the post retainer 248. The post retainer 248 is secured to an interior surface of the implanter base. The distal end of thepost 244 is configured to engage the implantable object as thecannula 240 is retracted over thepost 244, This distal end of thepost 244 may have a flat leading edge for engaging the implantable object or may also take on other configurations depending on the particular implantable object to be inserted. Some other distal end configurations include but are not limited to blunt, beveled, concave, and convex end surfaces. - The
post 244 preferably has an outer diameter which is somewhat smaller than an inner diameter of thecannula 240 to provide clearance through the cannula tube and limit binding or restriction of the post within the cannula. The post diameter with respect to the cannula should limit the amount of material that can bypass the cannula and become entrapped within the base. - The handle of the present invention is designed for one handed operation with the handle grasped by the hand while the thumb is used to slide the flexible actuator in the angled track. The handle preferably has a size and shape that can be easily manipulated during implant insertion. The orientation of the handle relative to the cannula allows the user to firmly grip the handle, yet easily keep the handle parallel to the skin surface to prevent the cannula from diving into other tissue or piercing out through the skin during insertion. The implanting device includes a bottom surface of the base which is substantially planar and parallel to the cannula.
- A distal tip of the
cannula 240 may be formed at various beveled angles, such as between about 30 degrees and about 45 degrees, or at a sharp point, such as 27 degrees which can cut skin. The preferred design of the cannula tip is a design with a beveled tip which does not cut unbroken skin and does not require special sharps disposal. The cannula of the implanting device is preferably inserted into the patient through a small incision made in the patient's skin to minimize scaring. - In operation the implanting device may be loaded with an implantable object either manually or with a cartridge. An incision is made at an implantation site and the
cannula 240 is inserted through the incision to a desired depth. Preferably, a depth indicating marker, such as a ring, is provided on the cannula to assist in locating the implantable object at a particular depth. Once the cannula is placed under the skin at a desired location for the implantable object, theflexible actuator 260 is drawn back manually from its locked position causing the cannula to be withdrawn over the implantable object and the post. When the cannula has been fully withdrawn, the implanting device is withdrawn from the patient leaving the implantable object in place. - The two handle portions and base portions may be assembled in any known manner such as by ultrasonic welding, adhesive bonding, press-fit bosses, or a snap fit. A rear surface of the handle rests against the palm of the user to steady the implanting device as the thumb moves the
flexible actuator 260 along the obtuselyangled track 300. Pressure may also be applied to the base by the index finger of the user during insertion of the cannula. - The assembly of the implanting device will be described with reference to the exploded view, which illustrates the implanting device prior to assembly. A
cannula 240 with boss 360 secured to it is slid over apost 244 and theflexible actuator 260 is slid onto the upper cannula boss guide posts. This subassembly is oriented in one portion of an implanting device so that the proximal end of thepost 244 is secured to a post boss retainer 248. Next, theflexible actuator 260 may be received within the actuator channel, the lower cannula boss guide post is positioned below the linear guide within the base, and thecannula 240 with thepost 244 inside of it is received into a cannula guide portion. Placement of the second implanter portion over the first implanter portion with the previously described subassembly positioned inside of its traps the cannula, its guide posts, and theflexible actuator 260 and its guide posts between cutouts in the second portion of the implanter. - When the implanting device is assembled, the
flexible actuator 260 is slidably connected to the upper cannula boss guide posts mounted to thecannula 240. Theflexible actuator 260 slides along the linear or curvilinearangled track 300 from a distal portion of the track, which contains alocking feature 299, to the proximal end of the track. - One embodiment of the present invention is a kit which may include additional parts along with an implanting device may be combined together to implant therapeutics, pharmaceuticals, or microencapsulated sensors into a patient. The kit may include the implanter in a first compartment. A second compartment may include a syringe, needles, scalpel, and any other instruments needed. A third compartment may includes gloves, drapes, wound dressings and other procedural supplies for maintaining sterility of the implanting process, as well as an instruction booklet. A fourth compartment may include additional cannula and posts. Each tool may be separately packaged in a plastic pouch that is radiation sterilized. A cover of the kit may include illustrations of the implanting procedure and a clear plastic cover may be placed over the compartments to maintain sterility.
- Embodiments of the present invention include a device which may be used for implanting various pharmaceuticals, therapeutic drug delivery devices such as silicone rubber capsules that contain a synthetic progestin birth control hormone, or encapsulated microsensors. The angled guide track of the device permits finer control of the cannula motion during implantation which aids in the proper positioning of implants within the patient. Embodiments of the present invention contain fewer parts than other implant devices.
- Although the present invention has been described in considerable detail with reference to certain preferred embodiments thereof, other versions are possible. Therefore the spirit and scope of the appended claims should not be limited to the description and the preferred versions contained within this specification.
Claims (27)
1. A device for implanting at least one object beneath the skin of a patient comprising:
a handle for grasping the device during insertion of an object, the handle having a distal end, a proximal end and an angled track formed on the handle, wherein the angled track has a stop at the distal portion that permits securing of the actuator and locks the cannula in a loaded position;
a base connected to the handle, the base comprising:
a post longitudinally fixed to the handle, the post extending from the distal end of the handle;
a hollow cannula positioned coaxially around and longitudinally slidable over the post from an extended position, in which at least one object is retained in the cannula, to a retracted position, in which at least one object is released from the cannula;
and a flexible actuator slidably engaged to the cannula to move the cannula from the extended position to the retracted position to release the object from the cannula, wherein the actuator flexes between a locked and an unlocked position.
2. The device of claim 1 further comprising one or more implantable objects.
3. The device of claim 2 , wherein the implantable objects comprise one or more of either therapeutics, pharmaceuticals, or microencapsulated sensors.
4. The device of claim 1 , wherein pressing the flexible actuator in the distal position of the angled track engages a locking feature to prevent retraction of the cannula.
5. The device of claim 1 , wherein the flexible actuator is released from the locked position by pressing the actuator.
6. The device of claim 1 further comprising a cartridge removably mounted and parallel to a central bore of said cannula and a means for moving objects into the cannula for delivery upon retraction of said cannula.
7. The device of claim 1 , wherein the angled track is either linear or curvilinear.
8. The device of claim 1 , wherein the base includes a bottom surface that is substantially planar and parallel to the cannula.
9. The device of claim 1 , wherein the cannula includes a tip at the distal end that is formed from at least one beveled angle of between 30 and 45 degrees.
10. The device of claim 1 , wherein the cannula includes a tip at the distal end that is formed at a sharp point of 27 degrees.
11. The device of claim 1 , wherein the cannula includes a depth indicating marker.
12. A device for implanting at least one object beneath the skin of a patient comprising:
a handle for grasping the device during the insertion of an object, the handle having a distal end, a proximal end, and an angled track formed on the handle,
a base connected to the handle, the base comprising:
a post longitudinally fixed to the handle, the post extending from the distal end of the handle;
a hollow cannula positioned coaxially around and longitudinally slidable over the post from an extended position, in which at least one object is retained in the cannula, to a retracted position, in which at least one object is released from the cannula;
and a flexible actuator that pushes or pulls at least two guide posts to move the cannula from the extended position to the retracted position to release the object from the cannula, wherein the actuator flexes between a locked and an unlocked position along a curvilinear path.
13. The device of claim 12 , wherein a flexible actuator further comprises a boss channel that engages the guide posts and permits a pulling or pushing force to be exerted on the cannula, for extension or retraction.
14. The device of claim 13 , wherein the boss channel and the cannula guide posts are not attached.
15. The device of claim 13 , wherein the boss channel does not pivot around the cannula guide posts.
16. The device of claim 12 further comprising one or more implantable objects.
17. The device of claim 16 , wherein the implantable objects comprise one or more of with therapeutics, pharmaceuticals, or microencapsulated sensors.
18. The device of claim 12 further comprising a cartridge removably mounted and parallel to a central bore of said cannula and a means for moving objects into the cannula for delivery upon retraction of said cannula.
19. The device of claim 12 , wherein pressing the actuator in the distal position of the angled track engages a locking feature to prevent retraction of the cannula.
20. The device of claim 9 , wherein the actuator is released from the locked position by pressing the actuator.
21. The device of claim 12 , wherein the base includes a bottom surface that is substantially planar and parallel to the cannula.
22. The device of claim 12 , wherein the cannula includes a tip at the distal end that is formed from at least one beveled angle of between 30 and 45 degrees.
23. The device of claim 12 , wherein the cannula includes a tip at the distal end that is formed at a sharp point of 27 degrees.
24. The device of claim 12 , wherein the cannula includes a depth indicating marker.
25. A method of inserting an object beneath the skin of a patient, comprising:
grasping a handle of a device during insertion of an object, the handle having a distal end, a proximal end, and an angled track formed on the handle, wherein the angled track has a Stop at the distal portion that permits securing of the actuator and locks the cannula in a loaded position; and
connecting a base to the handle, the base comprising:
extending a post from the distal end of the handle wherein the post is longitudinally fixed to the handle,
positioning a hollow cannula coaxially around and longitudinally slidable over the post from an extended position, in which at least one object is retained in the cannula, to a retracted position, in which at least one object is released from the cannula; and
slidably engaging a flexible actuator to the cannula to move the cannula from the extended position to the retracted position to release the object from the cannula, wherein the actuator flexes between a locked and an unlocked position.
26. The method of claim 25 , further comprising pressing the flexible actuator in the distal position of the angled track to engage a locking feature to prevent retraction of the cannula.
27. The method of claim 25 , further comprising pressing the flexible actuator to release the actuator from the locked position.
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- 2004-04-02 JP JP2006509680A patent/JP4575367B2/en not_active Expired - Fee Related
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- 2004-04-02 KR KR1020057018861A patent/KR101106474B1/en not_active IP Right Cessation
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- 2004-04-02 AT AT04749729T patent/ATE510579T1/en active
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US20100106133A1 (en) * | 2008-10-29 | 2010-04-29 | Warsaw Orthopedic, Inc. | Drug cartridge for delivering a drug depot comprising a bulking agent and/or cover |
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Legal Events
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