An implantable access device (10) for removal and/or return of fluids to a patient, being an animal or human, comprises a casing (20) attached to an internal conduit (51) to be connected with a lumen of the patient. A connector is attached at the casing (20) and arranged for attachment of an external conduit to the device (10). The device (10) comprises an actuator unit within the casing (20) to selectively allow or block the fluid communication between the internal conduit (51) and the external conduit and the device (10) further comprises a fixation unit (30) integrated in or attached at the casing (20) arranged for fixation of the device (10) to a bone (1) of the patient.