The present invention relates generally to injection or access ports, and more specifically to septum used in connection with such ports.
Injection ports, also known as access ports, are well known. They come in a wide variety of sizes, shapes, and styles, including excorporeal and subcutaneous. Uses for injection ports are for repeat injections and/or withdrawals of fluids into or out of the body.
Some injection ports have a elastomeric septum, and by having a needle that may be penetrated through the septum, the septum may re-seal in a substantially fluid type manner upon withdraw of the needle.
Often, one or more catheters may be attached to the port, such as to provide fluid access to one or more chambers inside the port.
Some injection ports are designed using radiopaque contrast media, including indicia, to identify the location of and/or to identify attributes of the injection port. For example, this may involve printing of radiopaque material and/or the use of foil as radiopaque material at the base of the port.
Some ports are made of metal, and some of plastic or both.
The present invention is new and different. While its septum(s) may be used in the aforementioned types of ports and others, the septum configuration is different. Such differences are set forth in the claims below.
The present inventions are defined by the claims, and only the claims. As set forth in the claims, such inventions may include the optional elements of an access port for subcutaneous use in a patient. Such elements may include a needle-penetrable sealing septum for an access port. It may have, a first and second (and optionally more) elastomeric regions. Indicia may be embedded in the septum. Indicia may be formed in at least one of said regions, and medical imaging additive, such as for example, radiopacity additive, may be used to provide contrast between said regions to provide indicia. Such elements may include where two or more such regions are over-molded.
The present inventions may include a method of making a septum and/or port, including blending and molding as claimed.
Further forms, objects, features, aspects, benefits, advantages, and embodiments of the present invention are enabled from the written description and drawings provided herewith.
For the purpose of promoting an understanding of the principles of the invention, reference will now be made to the embodiments illustrated in the drawings and specific language will be used to describe the same. These are merely examples. It will nevertheless be understood that no limitation of the scope of the invention is thereby intended. Any alterations and further modifications in the described embodiments, and any further applications of the principles of the invention as described herein are contemplated as would normally occur to one skilled in the art to which the invention relates.
As used in the claims and the specification, the following terms have the following definitions:
The terms “access port” or “injection port” mean a port that provides repeated access to a medical patient's blood vessels or other body vessels or cavities for purposes of adding and/or withdrawing fluids.
The term “additive” means one or more ingredients blended, embedded, added or formed into and which increase contrast and/or opacity for medical imaging. By way of example only, and without limitation, this may include barium compounds, barium sulfate, iodine compounds, tungsten, titanium, palladium, other metals (particles (including powders) and otherwise), compounds and/or blends thereof, bubbles, particulate, combinations thereof, and otherwise.
The term “alpha-numeric shape” means a structure in the shape of one or more letter, number (Arabic, roman, or otherwise), or both, alone or in combination with other shapes, symbols, and/or targets.
The term “barium sulfate” means BaSO4, as well as any compound, mixture, combination or blend containing BaSO4.
The term “blending” means to mix, react, dissolve, suspend and/or otherwise combine, mechanically, chemically or otherwise.
The term “catheter” means flexible medical tubing. It may include or not include radiopaque marking. It may include or not include reinforcement; it may include or not include other structures or features attached to it. It may have one, two or more lumens.
The term “chamber” means a three-dimensional space.
The term “circumferential rib/groove interface” means one or more structures that contact to hold, or help hold, two or more elements together, with such structures projecting (male structure) and/or receiving (female structure) generally around an edge or circumference. Those structures may be intermittent, continuous, or otherwise. They may alternate, with, for example both male and female elements on one or both elements. They may be located on the top, side, bottom, inside and/or outside of one or both elements.
The term “clear” means transparent, or at least translucent (whether or not color tinted), sufficient to allow human visualization of the indicia.
The term “conduit” means a lumen or passageway through a structure sufficiently large to allow the passage of fluids.
The term “contrast” means visual distinguish-ability in terms of imaging as between two or more regions and/or indicia due to relatively higher and lower opacity.
The terms “cured” and “curing” mean the toughening or hardening of a polymer and/or elastomer material by cross-linking of polymer chains, normally brought about by chemical additives, ultraviolet radiation, electron beam, heat, cooling, and/or a combination thereof.
The terms “elastomeric” and “elastomer” and “elastomeric material” mean a polymer, or including a polymer having notably low Young's modulus and high yield strain, or rubbery as compared with other rigid materials such as metal or wood. It is elastic, and may, but does not necessarily include viscoelastic material. It may include thermoset polymers and thermoelastic polymers and otherwise, as well as a blending thereof. Silicon rubber, silicone, latex, or other materials, alone, blended and/or as co-polymers, are but examples that may be used or included.
The term “embedded” means closed in or surrounded, wholly or at least partially, within one or more regions of material. This includes layers embedded in or between other layers, particles embedded in elastomeric or other material, foil or printing embedded in or between layers, and/or otherwise.
The terms “flowed” and “flowing” mean movement of a liquid from one location into another location.
The term “fluid sealing engagement” means contact between two or more elements that substantially stops or restricts fluid flow therebetween.
The term “forming indicia” means molding, cutting, stamping, dissolving, machining, printing, coating, glazing, spraying, extracting and/or otherwise creating indicia or the space or profile around and defining indicia.
The term “housing” means a structure which directly and/or indirectly defines, surrounds and/or supports one or more chambers therein.
The term “human visualization” means reading and/or being able to be read using visible light.
The term “in an amount greater than” is a relative term meaning that one region has a greater aggregate quantity of something (such as for example radiopaque material) when measured in a vertical (Z-axis) direction than other region or regions.
The term “indicia” means a shape that is human and/or machine readable as symbolic of something, such as for example a number, letter, bar code, RFID, trademark, symbol, target and/or combination thereof. Indicia may be three dimension and/or essentially two-dimensional, and/or essentially two-dimensional but lying in a curved plane.
The term “integral” means made from the same piece of material, such as for example, commonly molded in the same piece of plastic and/or commonly machined in the same piece of metal.
The term “MRI” and “magnetic resonance imaging” means creating an image or visualization using magnetic waves, including without limitation, and MRI machine, nuclear magnetic resonance imaging, or otherwise.
The term “medical imaging” means creating an image or visualization using sonography imaging, MRI and/or radio imaging.
The term “medical imaging media” means a substance (solid, liquid, cured, dried, elastomeric, foil, additive, particle, powder, ink, three dimensional, essentially two dimensional and/or otherwise) which provide medical imaging contrast.
The term “member” means a solid (including cured) structure made of one or more pieces. It may be rigid, flexible, or both.
The term “molding” means to cure a liquid in a mold.
The term “needle access” means adapted to receive a medical needle to add and/or withdraw fluids.
The term “needle-penetrable sealing septum” means a barrier which is penetrable by a medical needle, which forms a fluid sealing engagement around the needle during sealing and provides a seal against any substantial fluid flow after withdraw of the needle.
The term “occupied” means to reside in a space, void or region.
The terms “optional” and “optionally” mean not required. Moreover, the lack of the use of the term optional or optionally does not imply that the feature is required, but rather the use of optional and optionally are merely to stress that aspect.
The term “over-molded” means to cure one or more regions in a mold while in contact with a previously cured (partially or wholly cured) region(s) and/or with other(s) structures or layers in the mold.
The term “plan profile” means the shape or area or profile when viewed from a top plan perspective (down along a Z-axis).
The term “radio imaging” means creating an image or visualization using electromagnetic spectrum waves, including without limitation, fluoroscopy, x-rays, or otherwise.
The terms “radiopaque” and “radiopacity” mean stopping or impeding electromagnetic waves (for example X-rays, fluoroscopy) from radio imaging such as to be visible via radio imaging.
The term “region” means a three-dimensional part or entirety of a structure or element. Unless specifically noted otherwise as an “essentially two-dimensional region”, “region” does not include a very thin layer such as printing or foil.
The terms “sonography imaging” and “sonography” mean creating an image or visualization using sound waves, including without limitation, ultrasound, or otherwise.
The term “subcutaneous” means under the skin of a patient.
The term “substantially covers” covering at least 80% of an underlying structure when viewed from a plan profile.
The term “substantially filled” means occupying at least 80% of a former void with a solid and/or liquid.
The term “void” means substantially absent a solid or liquid.
The term “Z-axis” means a vertical axis. For example, in
Articles and phases such as, “the”, “a”, “an”, “at least one”, and “a first”, are not limited to mean only one, but rather are inclusive and open ended to also include, optionally, two or more of such elements.
The language used in the claims and the written description is to only have its plain and ordinary meaning, except as explicitly defined above. Such plain and ordinary meaning is inclusive of all consistent dictionary definitions from the most recently published (on the filing date of this application) general purpose Webster's dictionaries and Random House dictionaries.
Referring
There may be indicia formed at least in part as an indicia void in at least one of said regions. Such indicia may, for example, be letters and/or numbers and/or other symbols. Only by way of example, voids 25 and 26 shown, for example as the letters “C” and “T” respectively (or “CT” collectively). In such case, the indicia appear as “C” and “T”. Other indicia may be used, such as for example, “15” or “15 mL” to indicate the flow rate rating of the port (such as 15 milliliters per minute). Other letters and numbers may be used. The indicia may be or also include trademarks, logos, and targets for needle aiming and/or otherwise. The indicia may be co-planer, or optionally lie along a vertical Z-axis in two or more planes to provide 3-dimentional perspective and/or orientation under radio imaging. Such 3-dimentionality may also be provided by combining indicia of the present invention with indicia on other parts of the port, such as within the septum and/or such as on the port's base. The void(s) may be occupied at least in part by the other of said regions. Thus, for example with reference to
Additive for medical imaging is normally included substantially throughout elastomeric material in one of said regions 20 or 30, normally in an amount greater than the other of said regions. Additive may be in region 20, or in region 30, or both, or other regions, indicia or layers described below. Normally, the amount of additive, when used, is different as between such regions. This may provide contrast between said regions to provide indicia. This may, for example comprise a differential in depth (and/or depth taking into account relative additive density) between one region and other region(s) and/or the overall septum. Such height differential is shown in various examples, such as in
Any of the indicia may be located in the top, middle and/or bottom of the depth of the septum, including optionally throughout all, most or only some of its depth.
Optionally, the void 25 and/or 26 (see e.g.
Optionally, the void(s) in a first region 20 or 30 may be filled partially or even substantially filled with elastomeric material from the other of said regions. Examples of such filling may include one or more of 35 and 36 in
Optionally, the elastomeric material such as that forming 35, 36, 36b, c, d, e, f, and/or g may be flowed into the void and thereafter cured in that void.
Optionally, the aforementioned second region, be it 20 or 30, may be over-molded over the first region.
Optionally, such over-molding may result in bonding between the two regions.
Also, optionally wherein the second region may substantially cover said first region (see e.g.
Optionally, the additive may be any of one or more materials. As but one example, such additive may include barium sulfate. It also could include that blended with other radiopacity additive(s), and/or others.
Optionally, the septum may be generally round in plan profile (see
Optionally, and indeed normally, the septum is in combination with an access port housing. Many shapes and styles may be used, and one example is shown in
The septum may take wide variety of shapes, styles, sizes and configurations. It may also have a wide variety of features or not. For example, as seen in
Also, optionally, the septum may be modified from the example illustrated in
For example, in
Any of the aforementioned indicia may be as a negative, rather than as a positive, namely that some of all of the indicia is made by forming the space or profile around and defining indicia. For example, the indicia may comprise a medical imaging media around the shape of a letter and/or number.
Any of the above regions, whether two, three, four or more, may be formed by over-molding or formed by other techniques, or a combination thereof. For example, an initial region may be molded, followed by a second region which is over-molded. Alternatively, or in addition to that, there may be a region that is molded, and in a pre-molded, cured region set in place, and then a third region over molded on that assembly. Typically, when over molding, regions bond together by virtue of the over molding. This may include, but does not require, for example over-molding over printing or foil 36g. Optionally, adhesives, mechanical locking structures and otherwise may form or assist such holding of the regions together.
Optionally, one or more regions may be clear. For example, a top region (such as for example regions 20, 20b, 20c, 20d, 20e, 20f and/or 20g), and/or other regions could be clear. This may allow human visualization of indicia, when such indicia is below or embedded in such region. Such human visualization may be in addition to medical imaging.
The various features and/or structures of the foregoing examples may be mixed and/or combined.
How the device is manufactured is not necessarily critical. However,
Thereafter, optionally, it may be assembled into a port. As mentioned, merely one such example is shown in
While the invention has been illustrated and described in detail in the drawings and foregoing description, the same is to be considered as illustrative and not restrictive in character, it being understood that only the preferred embodiment has been shown and described and that all changes, equivalents, and modifications that come within the spirit of the inventions defined by following claims are desired to be protected. All publications, patents, and patent applications cited in this specification are herein incorporated by reference as if each individual publication, patent, or patent application were specifically and individually indicated to be incorporated by reference and set forth in its entirety herein.