the present invention provides a dialysis graft with septums to provide improved access for dialysis , to reduce the uncertainty of puncture during the procedure , and furthermore , to protect the graft from damage caused by repeated punctures . in addition , this device will also eliminate the hemostasis factor discussed above . as shown in fig1 the dialysis graft 10 is anastomosed in end - to - side fashion between an artery 12 and a vein 14 . the dialysis graft is composed of one , two , or more segments of plastic or metal chambers 16 on the arterial side and on the venous side . regular graft segments 18 are connected to the artery 12 and the vein 14 and in between the chambers 16 . a lateral view of a port chamber 16 is shown in fig2 . the port chamber 16 fits into the lumen 30 of a regular segment of the graft 18 by standard means . the port chamber 16 may be made of any suitable plastic material or metal . in the wall of the port chamber 16 are present a plurality of holes 17 . each hole 17 forms septum 20 . suitable materials for septums 20 include , but are not limited to , silicon and several other plastic polymers . various materials for making septums 20 are well known to those skilled in the art . one port chamber 16 may contain several septums 20 distributed all around the port chamber 16 . since the graft 10 is typically placed close to the skin 32 , the septums 20 are palpable underneath the skin for insertion of a needle 34 . the external surface of the septum 20 is made of a stretchable material that is suitable for repeated punctures . one of the most commonly available materials is made of silicon . the septums 20 can be covered internally with teflon or some other clot - resistant material . the needle 34 used for puncturing the septum should be a coreless needle , i . e ., it should not cut the seal of the septum 20 but should open a hole that may tightly close after needle 34 withdrawal . one example of a suitable needle 34 for puncturing the septum 20 is a needle 34 with a beveled end . the beveled end will puncture the septum 20 but will not remove a core from the septum 20 material which is then able to self - seal after removal of the needle 34 . each septum 20 should withstand several punctures and not suffer significant wear and tear . a minimum of two septums 20 should be available on the arterial and venous side of graft 10 to allow healing of adjacent skin and to increase the number of allowable punctures . for example , for a patient requiring dialysis three times a week , a suitable dialysis graft 10 should have provision for 156 punctures per year . if there are two septums 20 on each side , each septum 20 will be punctured 78 times a year . a preferable dialysis graft 10 should be able to be used for several years . in an alternate embodiment , in fig3 a graft 100 is disposed through the inside of a tubular port chamber 16 of the present invention . instead of connecting the graft 100 to opposite ends of the chamber 16 , the graft 100 extends completely through the inside of the port chamber 16 . while the invention has been described in connection with certain preferred embodiments , it is not intended to limit the scope of the invention to the particular forms set forth , but , on the contrary , it is intended to cover such alternatives , modifications , and equivalents as may be included within the spirit and scope of the invention as defined by the appended claims .
this invention provides a dialysis - access graft fistula having self - sealing ports for use in hemodialysis . the self - sealing ports can be repeatedly used for the cannulation required for the blood flows associated with hemodialysis . the ports self - seal after each puncture .