WO1989007467A1 - Cutaneous passageway - Google Patents

Cutaneous passageway Download PDF

Info

Publication number
WO1989007467A1
WO1989007467A1 PCT/SE1989/000056 SE8900056W WO8907467A1 WO 1989007467 A1 WO1989007467 A1 WO 1989007467A1 SE 8900056 W SE8900056 W SE 8900056W WO 8907467 A1 WO8907467 A1 WO 8907467A1
Authority
WO
WIPO (PCT)
Prior art keywords
passageway
cutaneous
cutaneous passageway
bone
anchoring
Prior art date
Application number
PCT/SE1989/000056
Other languages
French (fr)
Inventor
Jan Axel Svensson
Robert Axelsson
Original Assignee
Jan Axel Svensson
Robert Axelsson
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 Jan Axel Svensson, Robert Axelsson filed Critical Jan Axel Svensson
Publication of WO1989007467A1 publication Critical patent/WO1989007467A1/en

Links

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
    • A61M39/0247—Semi-permanent or permanent transcutaneous or percutaneous access sites to the inside of the body
    • 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
    • A61M39/0247—Semi-permanent or permanent transcutaneous or percutaneous access sites to the inside of the body
    • A61M2039/025—Semi-permanent or permanent transcutaneous or percutaneous access sites to the inside of the body through bones or teeth, e.g. through the skull
    • 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
    • A61M39/0247—Semi-permanent or permanent transcutaneous or percutaneous access sites to the inside of the body
    • A61M2039/0261—Means for anchoring port to the body, or ports having a special shape or being made of a specific material to allow easy implantation/integration in the body
    • 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
    • A61M2210/00—Anatomical parts of the body
    • A61M2210/02—Bones

Definitions

  • the invention relates to a cutaneous passageway having a passage system provided therein for connec- 5 tion of body cavities or body vessels to an appar ⁇ atus, container or the like externally of the body.
  • a cutaneous passageway can be useful for example in providing a permanent connection to the abdominal cavity of individuals which undergo perito- ⁇ jQ neal dialysis.
  • the purpose of the invention is to provide an immobilized zone in the region where the cutaneous passageway penetrates the skin, in order to prevent the epitelium layer from migrating along the cutane- 15 ous passageway and thus penetrating into the skin, causing rejection of the cutaneous passageway as a consequence thereof.
  • the cutaneous passageway of the invention has obtained the characterizing features 0 according to claim 1.
  • FIG 1 is a side view of an embodiment of the cutaneous passageway of the invention mounted in 5 the body which is fragmentarily shown in cross section, and
  • FIG 2 is a corresponding view of another embodi ⁇ ment of the cutaneous passageway of the inven ⁇ tion.
  • the cutaneous passageway is indicated gen ⁇ erally at 10, and it has cylindrical shape. However, it can have any other shape.
  • a passage system is pro ⁇ vided in the cutaneous passageway and can be connect- 5 ed to an outer hose 11 as shown in the drawing but can also be connected to an external coupling device, container, plastic bag, syringe, or any other apparatus.
  • the passage system is connected also to an inner hose 12 which is extended to a suitable location in the body where liquid shall be supplied or drained.
  • the hoses preferably consist of silicone or polyurethane of the highest medical quality.
  • the cutaneous passageway also has a threaded stud 13 by means of which the passageway is secured to a bone or cartilage portion 14 in the body, for example a rib or pelvis bone, the cutaneous passageway being located such that it ex ⁇ tends through the skin 15.
  • the cutaneous passageway can be constructed according to the Swedish Patent Application 8502829-8 in order to prevent the epitel from migrating downwards, and it should be made en ⁇ tirely of a biocompatible material or be coated with such material on the outside thereof, preferably titanium or a titanium alloy which has the ability to integrate in a biologically acceptable manner with bone or cartilage.
  • the cutaneous passageway is .anchored to a solid substrate and pre ⁇ ferably to a body portion having a minimum of sub ⁇ cutaneous fat, there is provided an immobilized zone in the region where the cutaneous passageway pen ⁇ etrates the skin, which further contributes to the prevention of downward migration of epitelium and thus rejection of the cutaneous passageway.
  • The.inner hose 12 is extended from a side connection 16 on the cutaneous passageway to be located subcutaneously.
  • the stud 13 forms a portion 13' in order to be a fastening member as well as a spacer.
  • the hoses 11 and 12 in this case comprise a continuous hose length which is passed through the cutaneous passageway. It is not necessary to provide as anchoring means a stud as shown herein.
  • Such means can also comprise a plate which is secured by means of screws or in another manner in engagement with the bone or cartilage portion.

Landscapes

  • Health & Medical Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Biomedical Technology (AREA)
  • Animal Behavior & Ethology (AREA)
  • Pulmonology (AREA)
  • Engineering & Computer Science (AREA)
  • Anesthesiology (AREA)
  • Biophysics (AREA)
  • Hematology (AREA)
  • Gastroenterology & Hepatology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Prostheses (AREA)
  • Table Devices Or Equipment (AREA)
  • Infusion, Injection, And Reservoir Apparatuses (AREA)
  • External Artificial Organs (AREA)
  • Materials For Medical Uses (AREA)

Abstract

The invention relates to a cutaneous passageway with a passage system provided therein for connection of body cavities or body vessels to an apparatus, container or the like located externally of the body. On the cutaneous passageway there is provided means (13) for anchoring the cutaneous passageway to a bone or cartilage portion of the body.

Description

CUTANEOUS PASSAGEWAY
The invention relates to a cutaneous passageway having a passage system provided therein for connec- 5 tion of body cavities or body vessels to an appar¬ atus, container or the like externally of the body. Such a cutaneous passageway can be useful for example in providing a permanent connection to the abdominal cavity of individuals which undergo perito- ■jQ neal dialysis.
The purpose of the invention is to provide an immobilized zone in the region where the cutaneous passageway penetrates the skin, in order to prevent the epitelium layer from migrating along the cutane- 15 ous passageway and thus penetrating into the skin, causing rejection of the cutaneous passageway as a consequence thereof.
For said purpose the cutaneous passageway of the invention has obtained the characterizing features 0 according to claim 1.
In order to explain the invention in more detail reference is made to the accompanying drawing in which FIG 1 is a side view of an embodiment of the cutaneous passageway of the invention mounted in 5 the body which is fragmentarily shown in cross section, and
FIG 2 is a corresponding view of another embodi¬ ment of the cutaneous passageway of the inven¬ tion.
In the embodiment of the invention, shown in the drawing, the cutaneous passageway is indicated gen¬ erally at 10, and it has cylindrical shape. However, it can have any other shape. A passage system is pro¬ vided in the cutaneous passageway and can be connect- 5 ed to an outer hose 11 as shown in the drawing but can also be connected to an external coupling device, container, plastic bag, syringe, or any other apparatus. The passage system is connected also to an inner hose 12 which is extended to a suitable location in the body where liquid shall be supplied or drained. The hoses preferably consist of silicone or polyurethane of the highest medical quality.
In both embodiments the cutaneous passageway also has a threaded stud 13 by means of which the passageway is secured to a bone or cartilage portion 14 in the body, for example a rib or pelvis bone, the cutaneous passageway being located such that it ex¬ tends through the skin 15. The cutaneous passageway can be constructed according to the Swedish Patent Application 8502829-8 in order to prevent the epitel from migrating downwards, and it should be made en¬ tirely of a biocompatible material or be coated with such material on the outside thereof, preferably titanium or a titanium alloy which has the ability to integrate in a biologically acceptable manner with bone or cartilage. Due to the fact that the cutaneous passageway is .anchored to a solid substrate and pre¬ ferably to a body portion having a minimum of sub¬ cutaneous fat, there is provided an immobilized zone in the region where the cutaneous passageway pen¬ etrates the skin, which further contributes to the prevention of downward migration of epitelium and thus rejection of the cutaneous passageway. The.inner hose 12 is extended from a side connection 16 on the cutaneous passageway to be located subcutaneously.
According to FIG 2 the stud 13 forms a portion 13' in order to be a fastening member as well as a spacer. Moreover, the hoses 11 and 12 in this case comprise a continuous hose length which is passed through the cutaneous passageway. It is not necessary to provide as anchoring means a stud as shown herein. Such means can also comprise a plate which is secured by means of screws or in another manner in engagement with the bone or cartilage portion.

Claims

1. Cutaneous passageway having a passage system provided therein for connection of body cavities or body vessels to an apparatus, container or the like located externally of the body, c h a r a c t e r ¬ i z e d in that means (13) are provided for anchoring the cutaneous passageway to a bone or cartilage portion of the body.
2. Cutaneous passageway as in claim 1 wherein the anchoring means (13) comprises a stud.
3. Cutaneous passageway as in claim 1 or 2 wherein at least the anchoring means (13) consists of or is coated with .a biocompatible material, for example titanium or titanium alloy.
PCT/SE1989/000056 1988-02-12 1989-02-10 Cutaneous passageway WO1989007467A1 (en)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
SE8800467-6 1988-02-12
SE8800467A SE8800467L (en) 1988-02-12 1988-02-12 HUDGENOMGAANG

Publications (1)

Publication Number Publication Date
WO1989007467A1 true WO1989007467A1 (en) 1989-08-24

Family

ID=20371351

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/SE1989/000056 WO1989007467A1 (en) 1988-02-12 1989-02-10 Cutaneous passageway

Country Status (4)

Country Link
EP (1) EP0407395A1 (en)
AU (1) AU3054989A (en)
SE (1) SE8800467L (en)
WO (1) WO1989007467A1 (en)

Cited By (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP2092943A1 (en) * 2008-02-21 2009-08-26 Universität Bern Implantable access for removal and/or return of fluids
EP2286849A1 (en) * 2009-08-21 2011-02-23 Cendres & Métaux S.A. Implantable vascular access
US8827987B2 (en) 2010-02-12 2014-09-09 Renishaw (Ireland) Limited Percutaneous drug delivery apparatus
US9662484B2 (en) 2012-10-02 2017-05-30 Renishaw Plc Neurosurgical device and method
US10751520B2 (en) 2006-11-23 2020-08-25 Renishaw (Ireland) Limited Neurological apparatus comprising a percutaneous access device

Citations (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4629451A (en) * 1985-09-23 1986-12-16 Victory Engineering Corp. Stereotaxic array plug

Patent Citations (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4629451A (en) * 1985-09-23 1986-12-16 Victory Engineering Corp. Stereotaxic array plug

Cited By (12)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US10751520B2 (en) 2006-11-23 2020-08-25 Renishaw (Ireland) Limited Neurological apparatus comprising a percutaneous access device
US11717663B2 (en) 2006-11-23 2023-08-08 Renishaw (Ireland) Limited Neurological apparatus comprising a percutaneous access device
EP2092943A1 (en) * 2008-02-21 2009-08-26 Universität Bern Implantable access for removal and/or return of fluids
WO2009103758A2 (en) * 2008-02-21 2009-08-27 Universitaet Bern Implantable access for removal and/or return of fluids
WO2009103758A3 (en) * 2008-02-21 2009-10-29 Universitaet Bern Implantable access for removal and/or return of fluids
US8845573B2 (en) 2008-02-21 2014-09-30 Universitaet Bern Implantable access for removal and/or return of fluids
EP2286849A1 (en) * 2009-08-21 2011-02-23 Cendres & Métaux S.A. Implantable vascular access
US8827987B2 (en) 2010-02-12 2014-09-09 Renishaw (Ireland) Limited Percutaneous drug delivery apparatus
US10507316B2 (en) 2010-02-12 2019-12-17 Renishaw (Ireland) Limited Implantable fluid router
US10596362B2 (en) 2010-02-12 2020-03-24 Renishaw (Ireland) Limited Percutaneous drug delivery apparatus
US11826536B2 (en) 2010-02-12 2023-11-28 Renishaw (Ireland) Limited Percutaneous drug delivery apparatus
US9662484B2 (en) 2012-10-02 2017-05-30 Renishaw Plc Neurosurgical device and method

Also Published As

Publication number Publication date
SE8800467L (en) 1989-08-13
AU3054989A (en) 1989-09-06
EP0407395A1 (en) 1991-01-16
SE8800467D0 (en) 1988-02-12

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