WO1988001518A1 - Implant passageway - Google Patents

Implant passageway Download PDF

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Publication number
WO1988001518A1
WO1988001518A1 PCT/SE1986/000382 SE8600382W WO8801518A1 WO 1988001518 A1 WO1988001518 A1 WO 1988001518A1 SE 8600382 W SE8600382 W SE 8600382W WO 8801518 A1 WO8801518 A1 WO 8801518A1
Authority
WO
WIPO (PCT)
Prior art keywords
passageway
implant
implant passageway
biocompatible
capillary tubes
Prior art date
Application number
PCT/SE1986/000382
Other languages
French (fr)
Inventor
Dan Lundgren
Original Assignee
Dan Lundgren
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Application filed by Dan Lundgren filed Critical Dan Lundgren
Priority to PCT/SE1986/000382 priority Critical patent/WO1988001518A1/en
Publication of WO1988001518A1 publication Critical patent/WO1988001518A1/en
Priority to DK224888A priority patent/DK224888A/en

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M39/00Tubes, tube connectors, tube couplings, valves, access sites or the like, specially adapted for medical use
    • A61M39/02Access sites
    • A61M39/0247Semi-permanent or permanent transcutaneous or percutaneous access sites to the inside of the body
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M39/00Tubes, tube connectors, tube couplings, valves, access sites or the like, specially adapted for medical use
    • A61M39/02Access sites
    • A61M39/0247Semi-permanent or permanent transcutaneous or percutaneous access sites to the inside of the body
    • A61M2039/0264Semi-permanent or permanent transcutaneous or percutaneous access sites to the inside of the body with multiple inlets or multiple outlets
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M39/00Tubes, tube connectors, tube couplings, valves, access sites or the like, specially adapted for medical use
    • A61M39/02Access sites
    • A61M39/0247Semi-permanent or permanent transcutaneous or percutaneous access sites to the inside of the body
    • A61M2039/0276Semi-permanent or permanent transcutaneous or percutaneous access sites to the inside of the body for introducing or removing fluids into or out of the body

Definitions

  • the invention relates to an implant passageway for connection of body cavities or body vessels to a device, container or the like externally of the body.
  • Such an implant passageway can be used e.g. for establishing a permanent connection to the abdomen of persons who from time to time have to be subject to e.g. peritoneal dialysis, or for establishing a temporary connection to a body cavity.
  • the difficulty when arranging an implant passageway is above all that the epithelium cells grow along the implant forming the connection proper, rejection from the body being the consequence thereof. . •
  • FIG. 1 is an axial sectional view of an implant passageway according to the invention
  • FIG. 2 is a cross-sectional view of the implant passageway
  • FIG. 3 is a perspective view of a capillary tube with a washer provided thereon.
  • the implant passageway comprises two end pieces 10 and 11 which in the present case comprise two cylindrical sockets but can have any other form so as to be connected e.g. to a hose.
  • the outer end piece 10 it can also be constructed for connection to a container, a plastic bag, a syringe, or -any other apparatus, and as far as the inner end piece 11 is concerned, it is not necessary that it is constructed for a connection; it can be provided only as a termination of the implant passageway to be located in a body cavity.
  • a number of capillary tubes 12 extend between the two end pieces in parallel to each other and spaced from each other.
  • These tubes should have an outside diameter which is less than 2 mm and preferably is less than 150 n .
  • the spacing between the tubes should be so large that tissue growing thereinto will mature and stay matured.
  • the tubes are arranged in a row in one plane, and the advantage of this arrangement is that they can be placed in the skin through an incision. In the drawing, the skin is shown in FIG. 1 at 13 and - th.e epithelium layer at 14.
  • the tubes open at the ends thereof through the two end pieces.
  • the capi-llary tubes 12 should be made of a biocompatible material or should at least be coated with such material on the surface thereof.
  • the material can be a metal or a metal alloy.
  • the preferred metal is titanium, but also aluminium, indium, zirkoniu and molybdenum can be used in this connection, and suitable alloys can contain cobalt-nickel-chromium, cobalt-chromium-molybdenum, or alurainium-vanadium-titanium.
  • biocompatible polymers can be used as the material of the tubes 12, such as silicone or polyur thane of the highest medical quality.
  • Such tubes may be coated with any of the metals or metal alloys mentioned above on the outside surface thereof. The coating can be obtained by evaporation in vacuum and can have a thickness of the order of 50 to 300 nm.
  • the tubes 12 Due to the fact that the tubes 12 have such a small outside diameter the epithelium layer will be prevented from propagating along the tubes to move into or down into the skin with rejection as a consequence thereof.
  • the capillary tubes immediately below the skin thin washers as shown at 15, FIGS. 1 and 3.
  • the capillary tubes can be arranged in two- mutually crossing planes and then the implant passageway rather easily can be inserted by making two perpendicular incisions.
  • the capillary tubes it is also possible to arrange the capillary tubes as a more or less cylindrical bundle, but then the insertion of the implant passageway will be made more complicated.
  • the number of tubes of the implant passageway has to be adapted to the flow which is allowed to pass therethrough.

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  • Health & Medical Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Biomedical Technology (AREA)
  • Gastroenterology & Hepatology (AREA)
  • Pulmonology (AREA)
  • Engineering & Computer Science (AREA)
  • Anesthesiology (AREA)
  • Biophysics (AREA)
  • Hematology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Materials For Medical Uses (AREA)
  • Prostheses (AREA)

Abstract

Implant passageway for connection of body cavities or body vessels to a device, container or the like externally of the body. The passageway comprises a plurality of capillary tubes (12) of a biocompatible material or with an outside biocompatible surface layer, which extend in parallel to each other and spaced from each other between two end pieces (10, 11). The capillary tubes open at the ends thereof through the end pieces.

Description

IMPLANT PASSAGEWAY
The invention relates to an implant passageway for connection of body cavities or body vessels to a device, container or the like externally of the body.
Such an implant passageway can be used e.g. for establishing a permanent connection to the abdomen of persons who from time to time have to be subject to e.g. peritoneal dialysis, or for establishing a temporary connection to a body cavity. The difficulty when arranging an implant passageway is above all that the epithelium cells grow along the implant forming the connection proper, rejection from the body being the consequence thereof. . •
This difficulty is overcome by the implant passageway of the invention having obtained the characteristics of claim 1. In order to explain the invention in more detail an embodiment thereof will be described below, reference being made to the accompanying drawing in which
FIG. 1 is an axial sectional view of an implant passageway according to the invention, FIG. 2 is a cross-sectional view of the implant passageway, and
FIG. 3 is a perspective view of a capillary tube with a washer provided thereon.
In the embodiment disclosed in the drawing, the implant passageway comprises two end pieces 10 and 11 which in the present case comprise two cylindrical sockets but can have any other form so as to be connected e.g. to a hose. As far as the outer end piece 10 is concerned, it can also be constructed for connection to a container, a plastic bag, a syringe, or -any other apparatus, and as far as the inner end piece 11 is concerned, it is not necessary that it is constructed for a connection; it can be provided only as
Figure imgf000004_0001
a termination of the implant passageway to be located in a body cavity. A number of capillary tubes 12 extend between the two end pieces in parallel to each other and spaced from each other. These tubes should have an outside diameter which is less than 2 mm and preferably is less than 150 n . The spacing between the tubes should be so large that tissue growing thereinto will mature and stay matured. The tubes are arranged in a row in one plane, and the advantage of this arrangement is that they can be placed in the skin through an incision. In the drawing, the skin is shown in FIG. 1 at 13 and - th.e epithelium layer at 14. The tubes open at the ends thereof through the two end pieces.
The capi-llary tubes 12 should be made of a biocompatible material or should at least be coated with such material on the surface thereof. The material can be a metal or a metal alloy. The preferred metal is titanium, but also aluminium, indium, zirkoniu and molybdenum can be used in this connection, and suitable alloys can contain cobalt-nickel-chromium, cobalt-chromium-molybdenum, or alurainium-vanadium-titanium. Also biocompatible polymers can be used as the material of the tubes 12, such as silicone or polyur thane of the highest medical quality. Such tubes may be coated with any of the metals or metal alloys mentioned above on the outside surface thereof. The coating can be obtained by evaporation in vacuum and can have a thickness of the order of 50 to 300 nm.
Due to the fact that the tubes 12 have such a small outside diameter the epithelium layer will be prevented from propagating along the tubes to move into or down into the skin with rejection as a consequence thereof. For the same purpose there can be provided on the capillary tubes immediately below the skin thin washers as shown at 15, FIGS. 1 and 3.
Instead of being arranged in a row in one plane the capillary tubes can be arranged in two- mutually crossing planes and then the implant passageway rather easily can be inserted by making two perpendicular incisions. However, it is also possible to arrange the capillary tubes as a more or less cylindrical bundle, but then the insertion of the implant passageway will be made more complicated.
The number of tubes of the implant passageway has to be adapted to the flow which is allowed to pass therethrough.

Claims

1. Implant passageway for connection of body cavities or body vessels to a device, container or the
Figure imgf000006_0001
like externally of the body,
5 c h a r a c t e r i z e d by several capillary tubes (12) of a biocompatible material or with an outside biocompatible surface layer, which extend in parallel with each other and spaced from each other between two end pieces (10, 11), the ends of the capillary tubes 0 opening through the end pieces.
2. Implant passageway as in claim 1, c h a r a c t e r i z e d in that the capillary tubes (12) have an outside diameter which is less than 2 mm, preferably less than 150 Aim. 5
3. Implant passageway as in claim 1 or 2, c h a r a c t e ri z e d in that the capillary tubes (12) are arranged in a row in one* plane.
4. Implant passageway as in any of claims 1 to 3, c h a r a c t e r i z e d in that the biocompatible 0 material or the biocompatible surface layer comprises a biocompatible metal or metal alloy.
5. Implant passageway as in claim 4, c h a r a c t e r i z e d in that the biocompatible material comprises titanium. 5
6. Implant passageway as in claim 4, c h a r a c t e r i z e d in that the biocompatible material comprises aluminium, indium, zirkonium, or molybdenum.
7. Implant passageway as in claim 4, Q c h a r a c t e r i z e d in that the biocompatible material comprises an alloy containing cobalt-nickel-chromium, cobalt-chromium-molybdenum, or aluminium-vanadium-titanium.
8. Implant passageway as in any of claims 1 to 3, 5 c h a r a c t e r i z e d in that the biocompatible material comprises a polymer.
9. Implant passageway as in claim 8, c h a r a c t e r i z e d in that the -biocompatible material comprises silicone or polyurethane.
PCT/SE1986/000382 1986-08-29 1986-08-29 Implant passageway WO1988001518A1 (en)

Priority Applications (2)

Application Number Priority Date Filing Date Title
PCT/SE1986/000382 WO1988001518A1 (en) 1986-08-29 1986-08-29 Implant passageway
DK224888A DK224888A (en) 1986-08-29 1988-04-25 IMPLANTATION REVIEW

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
PCT/SE1986/000382 WO1988001518A1 (en) 1986-08-29 1986-08-29 Implant passageway

Publications (1)

Publication Number Publication Date
WO1988001518A1 true WO1988001518A1 (en) 1988-03-10

Family

ID=20363265

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/SE1986/000382 WO1988001518A1 (en) 1986-08-29 1986-08-29 Implant passageway

Country Status (2)

Country Link
DK (1) DK224888A (en)
WO (1) WO1988001518A1 (en)

Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
GB2056282A (en) * 1979-08-15 1981-03-18 Bentley Lab Implant device
EP0078565A1 (en) * 1981-10-26 1983-05-11 Renal Systems, Inc. Percutaneous implant

Patent Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
GB2056282A (en) * 1979-08-15 1981-03-18 Bentley Lab Implant device
EP0078565A1 (en) * 1981-10-26 1983-05-11 Renal Systems, Inc. Percutaneous implant

Also Published As

Publication number Publication date
DK224888D0 (en) 1988-04-25
DK224888A (en) 1988-04-25

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