Intraosseous port

Through the design of the intraosseous port, the fluid connection between the bone lumen and the medical system is used to solve the problems of vascular access equipment infection and thrombosis, improve the safety and service life of the equipment, and reduce high-cost complications.

CN222303983UActive Publication Date: 2025-01-07BARD ACCESS SYSTEMS INC
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Patent Information

Application Number
CN202420260495.0
Authority / Receiving Office
CN · China
Patent Type
Utility models(China)
Current Assignee / Owner
Priority Date
2023-02-03
Filing Date
2024-02-02
Publication Date
2025-01-07
Estimated Expiration
2034-02-02

AI Technical Summary

Technical Problem

During use, existing vascular access equipment has problems such as high risk of infection and frequent thrombosis occlusion, resulting in serious complications and high-cost treatment and equipment replacement needs.

Method used

An intra-bone port, including a frame and an anchoring mechanism, is designed for implantation in the patient's body and fixation with the bone wall, fluid connection with the medical system through the first and second inner lumens, enabling body fluid extraction and delivery, reducing Risk of thrombosis occlusion.

Benefits of technology

It effectively reduces the risk of infection and the frequency of thrombosis occlusion, improves the safety and service life of vascular access equipment, and reduces high-cost complications in patient care.

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Abstract

The present application relates to an intraosseous port. Various embodiments of the intraosseous port are configured for subcutaneous placement in a patient. Some embodiments include a pair of cavities, each cavity including a spacer for receiving a needle. Other embodiments include a graft extending between the lumens. Each lumen is coupled during use with a lumen of a lumen extending into the bone (e.g., a medullary lumen). A method includes withdrawing bodily fluid from a bone cavity and returning the bodily fluid to the bone cavity. Some methods include performing hemodialysis via an intraosseous port.
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Description

[0001] priority

[0002] This application claims the benefit of priority to U.S. patent application No. 18 / 105,533, filed on February 3, 2023, which is incorporated by reference in its entirety into this application. Technical Field

[0003] The present invention relates to the field of medical devices, and more particularly to intraosseous ports. Background Art

[0004] Vascular access devices (VADs) are widely used to deliver a variety of substances, including fluids, drugs including chemotherapy, blood products, and total parenteral nutrition. Percutaneous vascular access devices include standard central venous catheters (CVCs), tunneled central venous catheters, and peripherally inserted central venous catheters (PICCs). These catheters pass through the skin, enter the vein, and terminate in a central venous location. Percutaneous VADs can be left in place at the insertion site for weeks or longer, so they need to be regularly flushed with saline and / or anticoagulant solutions to prevent thrombosis and occlusion. Implantable VADs are used for patients who need access for weeks to months. Implantable VADs typically have a metal or plastic port that is implanted in the subcutaneous tissue and anchored to the fascia tissue together with the catheter portion that enters the vein. Implantable VADs also need to be regularly flushed with an anticoagulant solution (usually concentrated heparin) to prevent thrombosis and occlusion.

[0005] Currently available VADs carry a significant risk (approximately 10%) of introducing infection into the bloodstream, which can lead to serious and costly complications such as bacteremia,45 sepsis, or even death. In addition, because the VAD is in constant contact with the bloodstream, the VAD requires regular flushing to remove stagnant blood and prevent thrombosis and occlusion. Even with regular flushing, occlusion occurs in approximately 30% of patients, requiring treatment with thrombolytic agents or device removal and reinsertion of a new device, which is costly, can interfere with patient care, and lead to complications.

[0006]

[0006] Therefore, there is a need for a vascular access device that enables the exchange of fluids with a patient, is easy to implant and access, and is less susceptible to occlusion and the various limitations outlined above. Utility Model Content

[0007] According to some embodiments, an intraosseous port is disclosed herein, comprising a frame configured to be placed subcutaneously in a patient's body. The frame defines a proximal portion having a first cavity and a second cavity, wherein the first cavity and the second cavity are configured to be fluidically connected to a medical system. The frame also defines a distal portion configured to pass through and insert into a bone wall, wherein the distal portion comprises: (i) a first lumen extending along the distal portion between the first cavity and the open distal end of the first lumen; and (ii) a second lumen extending along the distal portion between the second cavity and the open distal end of the second lumen, wherein the first open distal end and the second open distal end are configured to be placed in the cavity of the bone. The intraosseous port also includes an anchoring mechanism configured to fix the frame to the bone.

[0008] In some embodiments, the open distal end of the second lumen is longitudinally spaced from the open distal end of the first lumen. In some embodiments, the second lumen is disposed laterally relative to the first lumen, and in some embodiments, the second lumen is disposed laterally relative to the first lumen.

[0009] In some embodiments, the anchoring mechanism comprises external threads, and in some embodiments, the anchoring mechanism comprises a first threaded portion surrounding the first lumen and a second threaded portion surrounding the second lumen.

[0010] In some embodiments, the intraosseous port further includes a first septum extending across the proximal opening of the first lumen and a second septum extending across the proximal opening of the second lumen, wherein the first septum and the second septum are configured for passage of a needle therethrough.

[0011] In some embodiments, the intraosseous port further comprises a graft extending between the first cavity and the second cavity. In some embodiments, the graft is configured to extend between the bone and the lower surface of the patient's skin. In some embodiments, the bone wall comprises the greater tuberosity of the humerus.

[0012] According to some embodiments, the present invention also discloses a method for treating a patient, comprising: (i) connecting an intraosseous port to a bone of the patient; (ii) establishing a fluid connection between a medical system and the intraosseous port; (iii) extracting a first body fluid from the patient via the intraosseous port; and (iv) delivering a second body fluid to the patient via the intraosseous port.

[0013] In some embodiments of the method, coupling the intraosseous port to the patient's bone includes subcutaneously implanting the intraosseous port into the patient.

[0014] In some embodiments of the method, extracting the first body fluid comprises aspirating the first body fluid from the cavity of the bone via a first lumen of the intraosseous port, and delivering the second body fluid comprises delivering the second body fluid to the cavity of the bone via a second lumen of the intraosseous port.

[0015] In some embodiments of the method, withdrawing the first bodily fluid and delivering the second bodily fluid occur simultaneously.

[0016] In some embodiments of the method, the second bodily fluid comprises the first bodily fluid in a processed state according to operation of the medical system.

[0017] In some embodiments of the method, coupling the intraosseous port to the patient's bone includes threading the intraosseous port into the bone.

[0018] In some embodiments of the method, establishing a fluid connection between the medical system and the intraosseous port includes: (i) puncturing a first septum of the intraosseous port with a first needle; and (ii) puncturing a second septum of the intraosseous port with a second needle.

[0019] In some embodiments of the method, the intraosseous port includes a graft extending between the first lumen and the second lumen, and establishing a fluid connection between the medical system and the intraosseous port includes puncturing the graft with the first needle and puncturing the graft with the second needle.

[0020] In some embodiments of the method, the medical system comprises a hemodialysis system.In some embodiments, withdrawing the first body fluid comprises limiting the flow rate of the first body fluid to greater than about 50 ml / min.

[0021] These and other features of the concepts provided herein will become more readily apparent to those skilled in the art in view of the accompanying drawings and the following description, which describe in more detail specific embodiments of such concepts. BRIEF DESCRIPTION OF THE DRAWINGS

[0022] Figure 1 A partial front cross-sectional view of a first embodiment of an intraosseous port for a patient is shown, according to some embodiments.

[0023] Figure 2 A partial front cross-sectional view of a second embodiment of an intraosseous port for a patient is shown, according to some embodiments.

[0024] Figure 3 A partial front cross-sectional view of a third embodiment of an intraosseous port for use in a patient is shown, according to some embodiments.

[0025] Figure 4 A block diagram of a method for treating a patient via an intraosseous port is shown according to some embodiments. DETAILED DESCRIPTION

[0026] Before disclosing some specific embodiments in more detail, it should be understood that the specific embodiments disclosed herein do not limit the scope of the concepts provided herein. It should also be understood that the specific embodiments disclosed herein may have features that can be easily separated from the specific embodiments, and these features are optionally combined with the features of any of the many other embodiments disclosed herein or replace the features of any of the many other embodiments disclosed herein. In addition, all embodiments disclosed herein are combinable and / or interchangeable, unless otherwise stated, or such combination or interchange will be contrary to the described operability of any embodiment.

[0027] About the terms used herein, it should also be understood that these terms are for the purpose of describing some specific embodiments, and these terms do not limit the scope of the concepts provided herein.Ordinal numbers (e.g., first, second, third, etc.) are generally used to distinguish or identify different features or steps in a set of features or steps, and do not provide sequence or numerical restrictions.For example, "first", "second" and "third" features or steps do not necessarily appear in this order, and the specific embodiments including such features or steps are not necessarily limited to these three features or steps.For convenience, using labels such as "left", "right", "top", "bottom", "front", "back", etc., these labels are not intended to imply, for example, any specific fixed position, orientation or direction.On the contrary, such labels are used to reflect, for example, relative position, orientation or direction.Singular forms of "a kind of", "one" and "the" include plural references, unless the context clearly stipulates otherwise.

[0028] The phrases "connected to," "coupled to," and "in communication with" refer to any form of interaction between two or more entities, including but not limited to mechanical, electrical, magnetic, electromagnetic, fluid, and thermal interactions. Two components may be coupled to each other even if they are not in direct contact with each other. For example, two components may be coupled to each other through an intermediate component.

[0029] The terms "proximal" and "distal" refer to the opposite ends of a medical device, including the device disclosed herein. As used herein, the proximal portion of an implantable intraosseous port is the portion closest to the patient's skin surface during use, while the distal portion is the portion furthest embedded in the patient's body.

[0030] Unless otherwise defined, all technical and scientific terms used herein have the same meaning as those generally understood by those of ordinary skill in the art. Throughout the specification, approximate values ​​are referenced, such as by using the term "substantially". For each such reference, it is understood that in some embodiments, values, features or characteristics may be specified without approximation. For example, where qualifiers such as "about" and "substantially" are used, these terms include within their scope the situation where the qualified words do not have their qualifiers.

[0031] Any method disclosed herein includes one or more steps or actions for performing the described method. These method steps and / or actions can be interchangeable with each other. In other words, unless the correct operation of the embodiment requires a specific order of steps or actions, the order and / or use of specific steps and / or actions can be modified. In addition, a subroutine or only a portion of the method described herein can be a separate method within the scope of the disclosed text. In other words, some methods can include only a portion of the steps described in a more detailed method.

[0032] Figure 1 A partial front cross-sectional view of a first embodiment of an intraosseous port (IOP) 100 for a patient during a treatment period defined by a medical system (system) 70 is shown. IOP 100 is typically configured to, for example, be implanted in a patient, such as fully implanted in a patient. IOP 100 is typically further configured to, for example, enable access to a patient's bodily fluid, such as blood. In some embodiments, for example, system 70 may be configured to extract bodily fluid (e.g., blood) from a patient and deliver the bodily fluid back to the patient in a processed state according to the operation of system 70, such as a hemodialysis system. In other embodiments, system 70 may be configured to extract bodily fluid from a patient and deliver different liquids to the patient. In the illustrated embodiment, IOP 100 is configured to enable access to a body fluid in a bone (e.g., in the medullary cavity of a bone).

[0033] Figure 1 The IOP 100 is shown implanted in a patient 30 such that the IOP 100 is disposed completely beneath the skin 40. The IOP 100 includes a proximal portion 104 disposed between the lower surface 42 of the skin 40 and the bone 50. The IOP 100 is coupled to the bone 50 such that a distal portion 106 of the IOP 100 extends through a bone wall 51 of the bone 50. A distal end 107 of the IOP 100 is disposed, for example, within a cavity 52 (such as a medullary cavity) of the bone 50. In some embodiments, the IOP 100 may be configured such that a proximal end 108 of the IOP 100 is disposed adjacent to the lower surface 42 of the skin 40.

[0034] The IOP 100 includes a frame 110 that generally defines the structure of the IOP 100. The frame 110 can be formed, for example, of any rigid material suitable for implantation in the patient 30, such as stainless steel or plastic. The frame 110 defines a first cavity 121 that is fluidly coupled to a first lumen 131 to define a first flow path extending between a first lumen opening 121A at a proximal end 108 and a first lumen opening 131A at a distal end 107. Similarly, the frame 110 also defines a second cavity 122 that is fluidly coupled to a second lumen 132 to define a second flow path extending between a second lumen opening 122A at a proximal end 108 and a second lumen opening 132A at a distal end 107. In the illustrated embodiment, the first cavity 121 and the first lumen 131 are laterally positioned relative to the second cavity 122 and the second lumen 132 in a side-by-side relationship. In other embodiments, the first cavity 121 including the first lumen 131 and the second cavity 122 including the second lumen 132 can be positioned concentrically relative to each other.

[0035] The IOP 100 includes a first spacer 151A extending across the first cavity opening 121A and a second spacer 152A extending across the second cavity opening 122A. The first spacer 151A and the second spacer 152A define a seal over the first cavity opening 121A and the second cavity opening 122A, respectively. The first spacer 151A and the second spacer 152A are configured for puncture via the needles 81, 82 and reseal after the needles 81, 82 are removed. The first cavity 121 and the second cavity 122 are configured to receive the ends of the needles 81, 82 therein, respectively, to provide access to the body fluid 60 therein. The first spacer 151A and the second spacer 152A can be formed, for example, of any suitable spacer material configured for implantation in the body, such as EPDM, polytetrafluoroethylene, Dacron, silicon, or polyurethane. During use, the first and second spacers 151A, 152A may be punctured several times (eg, 5, 10, 20, 50, or more times) throughout the life of the IOP 100.

[0036] The first lumen 131 and the second lumen 132 and the first lumen opening 131A and the second lumen opening 132A can be specifically configured for safe passage of blood therethrough. By way of example, the diameters of the first lumen 131 and the second lumen 132 can be large enough to prevent damage (e.g., hemolysis) of blood passing therethrough at a flow rate of about 50 ml / min, 100 ml / min, 150 ml / min, or more, which may be due to, for example, increased shear rate and / or considerable negative pressure. Similarly, the first lumen opening 131A and the second lumen opening 132A can include smooth corners and edges to prevent damage to the blood.

[0037] The frame 110 includes an anchoring mechanism 160 configured to secure the IOP 100 to the bone 50. In the illustrated embodiment, the anchoring mechanism 160 includes external threads 161 that enable the IOP 100 to be screwed into the bone wall 51. As can be appreciated by one of ordinary skill in the art, other anchoring mechanisms suitable for securing the IOP 100 to the bone 50, such as barbs or adhesives, are also disclosed herein.

[0038] In some embodiments, during use, the IOP 100 can be oriented relative to the bone 50. For example, the first cavity 121 and the second cavity 122 can be oriented longitudinally relative to the bone 50. In this orientation, the IOP 100 can be oriented relative to the flow direction of the body fluid 60 in the cavity 52 so that one of the first lumen opening 131A or the second lumen opening 132A is positioned upstream of the other lumen opening in the first lumen opening 131A or the second lumen opening 132A. By way of example, in the illustrated embodiment, the first lumen opening 131A is positioned upstream of the second lumen opening 132A. This orientation can be advantageous when the body fluid 60 is extracted from the cavity 52 through the first lumen opening 131A and the body fluid 60 is returned to the cavity 52 via the second lumen opening 132A. This orientation can minimize the recirculation of the body fluid 60 through the system 70. During use, the system 70 may draw bodily fluid 60 (eg, blood) at a rate of about 50 ml / min, 100 ml / min, 150 ml / min, or greater and return bodily fluid 60 at a similar flow rate.

[0039] Some bones may be more suitable than others for a given patient treatment using the IOP 100. For example, some bones may have a higher blood flow rate through the cavity than other bones. Some embodiments of the IOP 100 may, for example, be specifically configured to couple with the humerus, such as the greater tuberosity of the humerus.

[0040] Figure 2 A partial front cross-sectional view of a second embodiment of an IOP 200 is shown, which in some respects may be similar to that of a second embodiment of an IOP 200. Figure 1 The components and functions of the IOP 100 described herein are similar. It should be understood that all of the illustrated embodiments may have similar features. Therefore, similar features are represented by similar reference numerals, with the leading numeral incremented to "2". For example, the frame in Figure 1 is designated as "110" in , and similar frames are Figure 2 Therefore, the above disclosures on features with similar identifiers may not be repeated in the following. Figure 1Specific features of the IOP and related components shown in the drawings may not be shown in the drawings or identified by reference numerals, or may not be discussed in detail in the subsequent written description. However, such features may clearly be the same or substantially the same as features depicted in other embodiments and / or described with respect to such embodiments. Therefore, the relevant description of such features also applies to the Figure 2 The characteristics of IOP. Figure 1 Any suitable combination of features and variations thereof may be used with the IOP and component descriptions shown in Figure 2 This mode of disclosure is also applicable to other embodiments depicted in the subsequent figures and described below.

[0041] Figure 2 An IOP 200 is shown implanted in a patient 30 such that the IOP 200 is disposed completely beneath the skin 40. The IOP 200 includes a proximal portion 204 disposed between the lower surface 42 of the skin 40 and the bone 50. The IOP 200 is coupled to the bone 50 such that a distal portion 206 of the IOP 200 extends through the bone wall 51. A distal end 207 of the IOP 200 is disposed within the cavity 52. ​​In some embodiments, the IOP 200 can be configured such that a proximal end 208 of the IOP 200 is disposed adjacent to the lower surface 42 of the skin 40.

[0042] The IOP 200 includes a frame 210 that generally defines the structure of the IOP 200. The frame 210 can be formed, for example, of any rigid material suitable for implantation in the patient 30, such as stainless steel or plastic. The frame 210 includes a first tubular member 212A and a second tubular member 212B. The first tubular member 212A defines a first lumen 221 fluidly coupled to a first lumen 231 to define a first flow path extending between a first lumen opening 221A at a proximal end 208 and a first lumen opening 231A at a distal end 207. Similarly, the second tubular member 212B defines a second lumen 222 fluidly coupled to a second lumen 232 to define a second flow path extending between a second lumen opening 222A at a proximal end 208 and a second lumen opening 232A at a distal end 207. The frame 210 also includes a connecting member 211 configured to couple the first tubular member 212A and the second tubular member 212B together. Each of the first tubular member 212A and the second tubular member 212B is rotatably coupled to the connecting member 211 , so that the first tubular member 212A and the second tubular member 212B can rotate relative to the connecting member 211 .

[0043] The IOP 200 includes a first spacer 251A extending across the first cavity opening 221A and a second spacer 252A extending across the second cavity opening 222A. The first spacer 251A and the second spacer 252A define a seal over the first cavity opening 221A and the second cavity opening 222A, respectively. The first spacer 251A and the second spacer 252A are configured for puncture via the needles 81, 82 and reseal after the needles 81, 82 are removed. The first cavity 221 and the second cavity 222 are configured to receive the ends of the needles 81, 82 therein, respectively, to provide access to the body fluid 60 therein. The first spacer 251A and the second spacer 252A can be formed, for example, of any suitable spacer material configured for implantation in the body, such as EPDM, polytetrafluoroethylene, Dacron, silicon, or polyurethane. During use, the first and second spacers 251A, 252A may be punctured several times (eg, 5, 10, 20, 50, or more times) throughout the life of the IOP 200.

[0044] Each tubular member 212A, 212B includes an anchoring mechanism 260 configured to secure the IOP 200 to the bone 50. In the illustrated embodiment, the anchoring mechanism 260 includes external threads 261 that enable the tubular members 212A, 212B to be individually screwed into the bone wall 51. As can be appreciated by one of ordinary skill in the art, other anchoring mechanisms suitable for securing the IOP 200 to the bone 50, such as barbs or adhesives, are also disclosed herein.

[0045] In some use cases, the IOP 200 can be oriented relative to the bone 50. For example, the first cavity 221 and the second cavity 222 can be oriented longitudinally relative to the bone 50. In this orientation, the IOP 200 can be oriented relative to the flow direction of the body fluid 60 in the cavity 52 so that one of the first lumen opening 231A or the second lumen opening 232A is positioned upstream of the other lumen opening in the first lumen opening 231A or the second lumen opening 232A. By way of example, in the illustrated embodiment, the first lumen opening 231A is positioned upstream of the second lumen opening 232A. This orientation can be advantageous when the body fluid 60 is extracted from the cavity 52 through the first lumen opening 231A and the body fluid 60 is returned to the patient via the second lumen opening 232A.

[0046] Furthermore, each tubular member 212A, 212B can be oriented relative to the direction of flow of the bodily fluid 60 within the cavity 52. Figure 2As shown, the first lumen opening 231A and the second lumen opening 232A can be oriented laterally relative to their respective tubular members 212A, 212B. For example, in the illustrated embodiment, the first lumen opening 231A faces upstream relative to the flow direction of the bodily fluid 60, and the second lumen opening 232A faces downstream relative to the flow direction of the bodily fluid 60. This orientation of the first lumen opening 231A and the second lumen opening 232A can enhance the treatment process by minimizing recirculation of the bodily fluid 60 through the system 70.

[0047] Figure 3 A partial front cross-sectional view of a third embodiment of an intraosseous port (IOP) 300 for use with a patient 30 during a procedure defined by a medical system (system) 70 is shown. The IOP 300 is typically configured to be implanted, such as fully implanted, within a patient, for example. The IOP 300 is typically further configured to enable access to a bodily fluid 60. Figure 3 An IOP 300 is shown implanted in a patient 30 such that the IOP 300 is disposed entirely beneath the skin 40. The IOP 300 includes a proximal portion 304 disposed between the lower surface 42 of the skin 40 and the bone 50. The IOP 300 is coupled to the bone 50 such that a distal portion 306 of the IOP 300 extends through the bone wall 51. A distal end 307 of the IOP 300 is disposed within the cavity 52.

[0048] The IOP 300 includes a frame 310 that generally defines the structure of the IOP 300. The frame 310 can be formed, for example, of any rigid material suitable for implantation in the patient 30, such as stainless steel or plastic. The frame 310 defines a first cavity 321 that is fluidly coupled to a first lumen 331 to define a first flow path extending between a first cavity opening 321A at a proximal end 308 and a first lumen opening 331A at a distal end 307. Similarly, the frame 310 also defines a second cavity 322 that is fluidly coupled to a second lumen 332 to define a second flow path extending between a second lumen opening 322A at a proximal end 308 and a second lumen opening 332A at a distal end 307. In the illustrated embodiment, the first cavity 321 and the first lumen 331 are laterally positioned relative to the second cavity 322 and the second lumen 332 in a side-by-side relationship. In other embodiments, at least a portion of the first lumen 331 and the second lumen 332 can be positioned concentrically relative to each other.

[0049] The IOP 300 includes a graft 350 extending between a first cavity opening 321A and a second cavity opening 322A, wherein the graft 350 defines a flow path between the first cavity 321 and the second cavity 322. The graft 350 is configured to be punctured via needles 81, 82 to provide access to the body fluid 60 therein. The graft 350 is further configured to reseal after the needles 81, 82 are removed. In some embodiments, the first cavity 321 and the second cavity 322 are configured to receive the ends of the needles 81, 82 therein, respectively. The graft 350 can be formed, for example, by any suitable graft material, such as polytetrafluoroethylene, dacron, silicon or polyurethane. During use, the graft 350 can be punctured several times (e.g., 5 times, 10 times, 20 times, 50 times or more) during the entire life of the IOP 300.

[0050] The frame 310 includes an anchoring mechanism 360 configured to secure the IOP 300 to the bone 50. In the illustrated embodiment, the anchoring mechanism 360 includes external threads 361 that enable the IOP 300 to be screwed into the bone wall 51.

[0051] Method 400 for treating a patient may include all or any subset of the following steps, actions or processes. Method 400 may include coupling an intraosseous port to a bone of the patient (frame 410). In some embodiments, coupling the intraosseous port to the bone includes implanting the intraosseous port subcutaneously in the patient. In some embodiments, coupling the intraosseous port to the bone includes penetrating the intraosseous port into the bone. In some embodiments, the bone may include the greater tuberosity of the humerus.

[0052] Method 400 may include establishing a fluid connection between the medical system and the intraosseous port (block 420). In some embodiments, establishing the fluid connection may include: (i) puncturing a first septum of the intraosseous port with a first needle; and (ii) puncturing a second septum of the intraosseous port with a second needle. In some embodiments, the intraosseous port includes a graft coupled between a first lumen and a second lumen, and establishing the fluid connection includes puncturing the graft with the first needle and puncturing the graft with the second needle.

[0053] Method 400 may include extracting a first body fluid from the patient via the intraosseous port (block 430). In some embodiments, extracting the first body fluid includes aspirating the first body fluid from a cavity (e.g., a medullary cavity) of a bone via a first lumen of the intraosseous port. In some embodiments of method 400, extracting the first body fluid from the patient includes limiting the flow rate of the first body fluid to more than about 50 ml / min, 100 ml / min, 150 ml / min, or greater.

[0054] According to another embodiment of method 400, withdrawing the first bodily fluid from the patient may include withdrawing the first bodily fluid from the patient via a route other than an intraosseous port, such as via a vascular catheter, for example.

[0055] Method 400 may include delivering a second body fluid to the patient via an intraosseous port (block 440). In some embodiments, delivering the second body fluid includes delivering the second body fluid to a cavity of the bone via a second lumen of the intraosseous port. In some embodiments, extracting the first body fluid and delivering the second body fluid occur simultaneously. In some embodiments, the second body fluid includes the first body fluid that is in a processed state according to the operation of the medical system. According to another embodiment of method 400, delivering the second body fluid to the patient may include, for example, delivering the second body fluid to the patient via other routes other than the intraosseous port, such as via a vascular catheter.

[0056] In some embodiments of method 400, the medical system may be a hemodialysis system.

[0057] Although some specific embodiments have been disclosed herein, and although these specific embodiments have been disclosed in considerable detail, these specific embodiments are not intended to limit the scope of the concepts provided herein. Additional adaptations and / or modifications may be envisioned by those of ordinary skill in the art, and in broader aspects, these adaptations and / or modifications are also encompassed. Therefore, changes may be made to the specific embodiments disclosed herein without departing from the scope of the concepts provided herein.

Claims

1. An intraosseous port, characterized in that: include: A frame configured for subcutaneous placement within a patient, the frame comprising: a proximal portion having a first lumen and a second lumen configured to fluidly couple with a medical system; A distal portion configured to pass through and be inserted into a bone wall, the distal portion comprising: a first lumen extending along the distal portion between the first lumen and an open distal end of the first lumen; a second lumen extending along the distal portion between the second lumen and an open distal end of the second lumen, wherein the open distal end of the first lumen and the open distal end of the second lumen are configured for placement within a cavity of the bone; and An anchoring mechanism is configured to secure the frame to the bone.

2. The intraosseous port according to claim 1, characterized in that: The anchoring mechanism comprises an external thread.

3. The intraosseous port according to claim 2, characterized in that: The anchoring mechanism includes a first threaded portion surrounding the first lumen and a second threaded portion surrounding the second lumen.

4. The intraosseous port according to claim 1, characterized in that: The open distal end of the second lumen is longitudinally spaced from the open distal end of the first lumen.

5. The intraosseous port according to claim 1, characterized in that: The second cavity is disposed laterally relative to the first cavity.

6. The intraosseous port according to claim 1, characterized in that: The second lumen is disposed laterally relative to the first lumen.

7. The intraosseous port according to claim 1, characterized in that: Also includes: a first barrier extending across a proximal opening of the first lumen; and a second barrier extending across a proximal opening of the second lumen, The first partition and the second partition are configured for a needle to pass therethrough.

8. The intraosseous port according to claim 1, characterized in that: Also included is a graft extending between the first lumen and the second lumen.

9. The intraosseous port according to claim 8, characterized in that: The graft is configured to extend between the bone and an underlying surface of the patient's skin.

10. The intraosseous port according to claim 1, wherein: The bone wall includes the greater tuberosity of the humerus.