Claims Analysis
Total Claims: 20
Claim 1
Independent Claim
168 words
A method of delivering a biosynthetic substance to a patient comprising (a) inserting into a blood vessel of a patient a catheter closed at one end and having a cell culture chamber, said chamber being adapted to receive and maintain functional cells or tissues which produce a desired biosynthetic substance, said chamber having a wall, at least a portion of said wall being permeable to said substance and to nutrients provided by the blood which are necessary to maintain the cells or tissues in a functional state, said wall being impermeable to immunocytes and immunoglobulins; and (b) tethering said catheter in place in the blood vessel by tethering means, whereby the wall of the cell culture chamber is constantly bathed by blood flowing in said blood vessel, said tethering means further providing conduit means whereby cells or liquids may be introduced into or withdrawn from said chamber; said desired biosynthetic substance being produced by said cells and delivered through said wall directly into the bloodstream of the patient.
Claim 2
Independent Claim
168 words
A method of delivering a biosynthetic substance to a patient comprising (a) inserting into a blood vessel of a patient a catheter closed at one end and having a cell culture chamber, said chamber being adapted to receive and maintain functional cells or tissues which produce a desired biosynthetic substance, said chamber having a wall, at least a portion of said wall being permeable to said substance and to nutrients provided by the blood which are necessary to maintain the cells or tissues in a functional state, said wall being impermeable to immunocytes and immunoglobulins; and (b) tethering said catheter in place in the blood vessel by tethering means, whereby the wall of the cell culture chamber is constantly bathed by blood flowing in said blood vessel, said tethering means further providing conduit means whereby cells or liquids may be introduced into or withdrawn from said chamber; said desired biosynthetic substance being produced by said cells and delivered through said wall directly into the bloodstream of the patient.
Claim 3
Dependent Claim
23 words
The method of claim 1 in which the cells are introduced into the chamber before the catheter is inserted into the blood vessel.
Claim 4
Dependent Claim
23 words
The method of claim 1 in which the cells are introduced into the chamber after the catheter is inserted into the blood vessel.
Claim 5
Dependent Claim
13 words
The method of claim 1 in which the blood vessel is a vein.
Claim 6
Dependent Claim
17 words
The method of claim 4 in which the vessel has a diameter of at least 5 mm.
Claim 7
Dependent Claim
13 words
The method of claim 4 in which the vein is the subclavian vein.
Claim 8
Dependent Claim
11 words
The method of claim 1 in which the substance is insulin.
Claim 9
Dependent Claim
13 words
The method of claim 7 in which the tissue is pancreatic islet tissue.
Claim 10
Dependent Claim
31 words
The method of claim 1 in which the chamber wall is formed of a semipermeable membrane having a molecular weight cut-off of about 50,000 Daltons whereby entry of immunoglobulins is prevented.
Claim 11
Dependent Claim
24 words
The method of claim 1 in which cells or tissue are no longer functional are removed from the culture chamber through said conduit means.
Claim 12
Dependent Claim
23 words
The method of claim 1 in which a therapeutic agent is introduced through said conduit into said chamber and thence into the bloodstream.
Claim 13
Dependent Claim
12 words
The method of claim 11 in which the agent is an antibiotic.
Claim 14
Dependent Claim
26 words
The method of claim 1 in which, after insertion, the composition of the cells within the chamber is modified without removing the catheter from the patient.
Claim 15
Dependent Claim
31 words
The method of claim 1 in which the conduit means is a double lumen conduit means, and cells or liquid are introduced through one lumen and withdrawn through the other lumen.
Claim 16
Dependent Claim
36 words
The method of claim 1, said conduit means comprising subcutaneous port means at the end distal to said cell culture chamber, and wherein said catheter is implanted so that said port means assumes a subcutaneous position.
Claim 17
Dependent Claim
17 words
The method of claim 15 wherein said port means comprises a septum pierceable by a hypodermic needle.
Claim 18
Dependent Claim
38 words
The method of claim 16 wherein cells or substances are introduced into or withdrawn from said culture chamber by piercing said septum with a hypodermic needle and getting cells or substances from or drawing them into said needle.
Claim 19
Dependent Claim
22 words
The method of claim 1 wherein the tethering means is sufficiently rigid to hold the chamber in position within a blood vessel.
Claim 20
Dependent Claim
38 words
The method of claim 1 wherein the portion of the exterior surface of the catheter which is intended to come into prolonged contact with blood is treated with an agent to reduce the incidence of blood clotting thereon.