# US 2013/0253263 A1 · Implantable access port system

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- Number: US 2013/0253263 A1
- Document ID: US20130253263A1
- Status: Published application
- Kind: A1
- Application number: 13/895,118
- Filed: 2013-05-15
- Published: 2013-09-26
- Earliest claimed: 2010-09-14
- Assignees: Allergan, Inc.
- Applicants: Allergan, Inc.
- Inventors: Greg Nitka; Edwin J. Kayda
- Web page: https://patentgrep.com/patent/US20130253263A1

## CPC

- A61F 5/0066: {Closing devices for gastric bands}
- A61M 39/0208: {Subcutaneous access sites (implantable infusion devices A61M5/14276; transcutaneous access sites A61M39/0247)}
- A61M 39/0247: {Transcutaneous or percutaneous access sites to the inside of the body}
- A61M 2039/0223: {having means for anchoring the subcutaneous access site}
- A61M 2039/0261: {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}
- A61F: FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS (dental prosthetics A61C)
- A61M: DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY (introducing media into or onto the bodies of animals A61D7/00; means for inserting tampons A61F13/26; devices for administering food or medicines orally A61J; containers for collecting, storing or administering blood or medical fluids A61J1/05); DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY (surgery A61B; chemical aspects of surgical articles A61L); DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR {(Electrotherapy, e.g. producing anaesthesia by the use of alternating or intermittent currents A61N1/36021)}

## Abstract

An implantable injection port comprises a base. A first gear is coupled to the base, and a first anchor is coupled to the first gear. A second gear is coupled to the base, and a second anchor is coupled to the second gear. A top portion of the injection port is spaced apart from the base of the port and has a first plurality of top teeth that engage with a first plurality of gear teeth on the first gear. This engagement occurs prior to rotation of the second gear. The top portion rotates, which causes rotation of the first gear, which in turn causes movement of the first anchor through the anchor opening of the base and into the tissue of the patient. The first gear and the second gear rotate non-simultaneously.

## Claims

### Claim 1

An implantable injection port for use with a gastric band for treating obesity and for attaching to a tissue of a patient, the implantable injection port comprising:
a base having a first anchor opening;
a first gear coupled to the base and rotatable about a first axis, the first gear having a first plurality of gear teeth;
a second gear coupled to the base and rotatable about a second axis, the second gear having a second plurality of gear teeth;
a first anchor coupled to the first gear; and
a top portion spaced apart from the base and having a first plurality of top teeth that engage with the first plurality of gear teeth on the first gear prior to rotation of the second gear, the top portion being rotatable causing rotation of the first gear such that the rotation of the first gear causes movement of the first anchor through the anchor opening of the base and into the tissue of the patient.

### Claim 2 (depends on 1)

The implantable injection port of claim 1, wherein the first gear rotates about the first axis independently of the second gear.

### Claim 3 (depends on 1)

The implantable injection port of claim 1, further comprising a second anchor coupled to the second gear.

### Claim 4 (depends on 3)

The implantable injection port of claim 3, wherein subsequent to the first plurality of top teeth engaging with the first plurality of gear teeth on the first gear, the first plurality of top teeth engages with the second plurality of gear teeth on the second gear.

### Claim 5 (depends on 4)

The implantable injection port of claim 4, wherein the first plurality of top teeth engages with the second plurality of gear teeth to cause rotation of the second gear, which causes movement of the second anchor through a second anchor opening of the base and into the tissue of the patient.

### Claim 6 (depends on 5)

The implantable injection port of claim 5, wherein the first anchor and the second anchor move non-simultaneously into the tissue of the patient.

### Claim 7 (depends on 5)

The implantable injection port of claim 5, wherein the first anchor moves into the tissue of the patient at a first time, and wherein the second anchor moves into the tissue of the patient a second time different than the first time.

### Claim 8 (depends on 1)

The implantable injection port of claim 1, further comprising a third gear coupled to the base and rotatable about a third axis, the third gear having a third anchor and a third plurality of gear teeth.

### Claim 9 (depends on 8)

The implantable injection port of claim 8, wherein the top portion comprises a third plurality of top teeth that engage with the third plurality of gear teeth on the third gear to cause movement of the third anchor through a third anchor opening of the base and into the tissue of the patient.

### Claim 10 (depends on 9)

The implantable injection port of claim 9, wherein the third plurality of top teeth engage with the third plurality of gear teeth simultaneously with the engagement of the first plurality of top teeth and the first plurality of gear teeth.

### Claim 11 (depends on 9)

The implantable injection port of claim 9, wherein the third plurality of top teeth engage with the third plurality of gear teeth at a first time, and wherein the first plurality of top teeth engage with the first plurality of gear teeth at the first time.

### Claim 12 (depends on 8)

The implantable injection port of claim 8, wherein the third axis is collinear with the first axis.

### Claim 13 (depends on 1)

The implantable injection port of claim 1, wherein the implantable injection port is attached to the tissue of the patient with an actuation device capable of non-simultaneously rotating the first gear and the second gear.

### Claim 14 (depends on 1)

The implantable injection port of claim 1, further comprising a septum positioned within a center opening of the top portion and made of a self sealing needle penetrable material.

### Claim 15 (depends on 14)

The implantable injection port of claim 14, further comprising a reservoir positioned underneath the septum and between the top portion and the base for holding fluid.

### Claim 16

An actuation device for attaching an implantable injection port to a tissue of a patient, the actuation device comprising:
a head configured to be coupled to the implantable injection port;
a first drive band coupled to a trigger of the actuation device;
a second drive band coupled to the first drive band for translating motion from the trigger of the actuation device to the second drive band, wherein the second drive band is configured to interface with a top portion of the implantable injection port to facilitate deploying an anchor of the implantable injection port into the tissue of the patient; and
a switch operable to direct the second drive band to rotate the top portion of the implantable injection port in an implanting direction or a retracting direction.

### Claim 17 (depends on 16)

The actuation device of claim 16, wherein a face of the first drive band is substantially perpendicular to a face of the second drive band, and wherein the first drive band is a horizontal drive band and the second drive band is a vertical drive band.

### Claim 18 (depends on 16)

The actuation device of claim 16, wherein the head is a gripping portion configured to be coupled to the implantable injection port via a snap feature.

### Claim 19 (depends on 16)

The actuation device of claim 16, wherein the implanting direction of the top portion facilitates implanting the anchor in the tissue of the patient, and wherein the retracting direction of the top portion facilitates retracting the anchor from the tissue of the patient.

### Claim 20 (depends on 16)

The actuation device of claim 16, wherein the implanting direction is clockwise and the retracting direction is counter clockwise.

### Claim 21 (depends on 16)

The actuation device of claim 16, wherein the switch is manually or automatically toggled to a retracting mode after the trigger is depressed and released to implant the anchor in the tissue of the patient.

### Claim 22 (depends on 21)

The actuation device of claim 21, wherein the switch is toggled by rotating from a first position to a second position, wherein the first position guides the second drive band to rotate the top portion of the implantable injection port in the implanting direction, and wherein the second position guides the second drive band to rotate the top portion of the implantable injection port in the retracting direction.

### Claim 23

A method for implanting an implantable injection port in a tissue of a patient, the method comprising:
coupling a gripping portion of an actuation device to a top portion of the implantable injection port;
depressing a trigger of the actuation device when a switch in the actuation device is located in an implanting orientation;
directing a vertical drive band through the switch to contact the top portion of the implantable injection port and rotate the top portion in an implanting direction;
implanting, at a first time, a first anchor into the tissue of the patient in response to a first set of top teeth causing a first gear to rotate, wherein the first anchor is coupled to the first gear;
implanting, at a second time, a second anchor into the tissue of the patient in response to the first set of top teeth causing a second gear to rotate, wherein the second anchor is coupled to the second gear; and
toggling the switch to an extracting orientation in response to the trigger being released.

### Claim 24

A system for implanting an implantable injection port in a tissue of a patient, the system comprising:
an actuation device for attaching the implantable injection port to the tissue of the patient, the actuation device comprising:
a head configured to be coupled to the implantable injection port;
a first drive band coupled to a trigger of the actuation device;
a second drive band coupled to the first drive band for translating motion from the trigger of the actuation device to the second drive band, wherein the second drive band is configured to interface with a top portion of the implantable injection port to facilitate deploying an anchor of the implantable injection port into the tissue of the patient; and
a switch operable to direct the second drive band to rotate the top portion of the implantable injection port in an implanting direction or a retracting direction;
wherein the implantable injection port comprises:
a base having an anchor opening;
a first gear coupled to the base and rotatable about a first axis, the first gear having a first plurality of gear teeth; and
a second gear coupled to the base and rotatable about a second axis, the second gear having a second plurality of gear teeth;
wherein the anchor is coupled to the first gear, and
wherein the top portion is spaced apart from the base and has a first plurality of top teeth that engage with the first plurality of gear teeth on the first gear prior to a second plurality of top teeth engaging with the second plurality of gear teeth on the second gear, the top portion being rotatable causing rotation of the first gear such that the rotation of the first gear causes movement of the anchor through the anchor opening of the base and into the tissue of the patient.
