Classifications

• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
  • A61M25/00—Catheters; Hollow probes
  • A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
  • A61M25/0105—Steering means as part of the catheter or advancing means; Markers for positioning
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
  • A61B5/00—Measuring for diagnostic purposes; Identification of persons
  • A61B5/05—Detecting, measuring or recording for diagnosis by means of electric currents or magnetic fields; Measuring using microwaves or radio waves 
  • A61B5/053—Measuring electrical impedance or conductance of a portion of the body
  • A61B5/0538—Measuring electrical impedance or conductance of a portion of the body invasively, e.g. using a catheter
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
  • A61B5/00—Measuring for diagnostic purposes; Identification of persons
  • A61B5/06—Devices, other than using radiation, for detecting or locating foreign bodies ; determining position of probes within or on the body of the patient
  • A61B5/065—Determining position of the probe employing exclusively positioning means located on or in the probe, e.g. using position sensors arranged on the probe
  • A61B5/068—Determining position of the probe employing exclusively positioning means located on or in the probe, e.g. using position sensors arranged on the probe using impedance sensors
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
  • A61B5/00—Measuring for diagnostic purposes; Identification of persons
  • A61B5/68—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
  • A61B5/6846—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive
  • A61B5/6847—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive mounted on an invasive device
  • A61B5/6851—Guide wires
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
  • A61B5/00—Measuring for diagnostic purposes; Identification of persons
  • A61B5/68—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
  • A61B5/6846—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive
  • A61B5/6847—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive mounted on an invasive device
  • A61B5/6852—Catheters
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
  • A61B5/00—Measuring for diagnostic purposes; Identification of persons
  • A61B5/68—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
  • A61B5/6846—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive
  • A61B5/6886—Monitoring or controlling distance between sensor and tissue
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
  • A61M25/00—Catheters; Hollow probes
  • A61M25/0043—Catheters; Hollow probes characterised by structural features
  • A61M25/005—Catheters; Hollow probes characterised by structural features with embedded materials for reinforcement, e.g. wires, coils, braids
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
  • A61M25/00—Catheters; Hollow probes
  • A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
  • A61B2562/00—Details of sensors; Constructional details of sensor housings or probes; Accessories for sensors
  • A61B2562/22—Arrangements of medical sensors with cables or leads; Connectors or couplings specifically adapted for medical sensors
  • A61B2562/225—Connectors or couplings
  • A61B2562/227—Sensors with electrical connectors
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
  • A61M25/00—Catheters; Hollow probes
  • A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
  • A61M25/0105—Steering means as part of the catheter or advancing means; Markers for positioning
  • A61M2025/0166—Sensors, electrodes or the like for guiding the catheter to a target zone, e.g. image guided or magnetically guided
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
  • A61M2205/00—General characteristics of the apparatus
  • A61M2205/35—Communication
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
  • A61M25/00—Catheters; Hollow probes
  • A61M25/0043—Catheters; Hollow probes characterised by structural features
  • A61M25/0045—Catheters; Hollow probes characterised by structural features multi-layered, e.g. coated
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
  • A61M25/00—Catheters; Hollow probes
  • A61M25/0097—Catheters; Hollow probes characterised by the hub

Definitions

• the invention relates to a cannula with an electrically conductive material extending along the cannula.
• a cannula with an electrically conductive material such as a wire
• an electrically conductive material such as a wire
• the helical wire serves to stabilize and shape the cannula. It is ensured that the wire is guided in the cannula so that it does not come into contact with a liquid surrounding the cannula. For this purpose, the wire is guided in particular in the cannula wall.
• Such a spiral wire also serves as kink protection in order to avoid an interruption of the fluid flow.
• the invention can be used in principle for any type of cannulas as well as needles, ports or shunts. However, it particularly relates to catheters, cannulas having two or more lumens, and large cannulas suitable for flows in the range of at least 0.5 to 8 l / min with active pumps, or lungs and cardiac therapies. Especially with such cannulas there is a risk that the cannula is pushed out of the blood vessel in the worst case, the patient can die within a few minutes.
• the invention is based on the object of further developing a cannula with an electrically conductive material which runs along the cannula. This object is achieved with a generic cannula, in which the material has an electrical connection.
• the preferably guided in the cannula wall wire or other electrically conductive material must be led out of the cannula or brought to a cannula wall, that an electrical connection with the material is possible.
• the invention is based on the recognition that such wires used in cannulas or other electrically conductive materials can also be used to transmit electrical signals, voltages or capacitances.
• the electrical connection thus makes it possible to tap the electrical state in the material and forward it to a measuring or expansion system.
• the electrically conductive material is formed along the cannula over a region of the length of the cannula, which does not have to grasp the entire cannula.
• this range extends, for example, from the cannula tip to a region which is not arranged in a body and is therefore particularly suitable for attaching an electrical connection.
• the electrically conductive material in the cannula can thus for example connect a sensor to a measuring device.
• a measuring device for example, in an embodiment of the wire as a thermocouple, temperature values, that is to say temperatures corresponding to those voltages, can also be transmitted.
• the wire can also be designed such that an elongation or a bending of the wire changes electrical characteristics on the wire, so that such changes to a measuring device can be represented with the electrical connection. These measured values can be used to display the parameters or can also be used as control variables.
• the material along the cannula can be cylindrical.
• a portion of the cannula may be wrapped in a band or a cylindrical element is incorporated into the cannula or the cannula is surrounded by this element.
• a suitable metal is an electrically conductive material. However, it may also be an electrically conductive plastic or another electrically conductive material.
• a simple embodiment provides that the electrically conductive material is a wire.
• the wire is spirally wound.
• the cannula on the one hand receives a certain stability through the wire, and on the other hand, the spiral shape enables the wire to act on the whole Peripheral surface of the cannula on a specific cannula section.
• the spiral shape of the wire makes it possible to use the wire as an electrical coil, which opens up further applications, in particular an induction of a voltage.
• the cannula has an outer jacket and an inner jacket, between which the electrically conductive material is arranged.
• the outer jacket and the inner jacket can be made of polyurethane. They can also be produced in one piece, in particular if the electrically conductive material is received in the cannula wall immediately during the production of the cannula.
• a tubular wall, preferably of polyurethane, can thus insulate the electrically conductive material radially outwards and radially inwards.
• the electrical connection makes it possible to connect the cannula electrically wired with a display, evaluation or control unit. However, it is also a wireless connection possible, provided that the cannula has a transmitter which communicates with the electrical connection. Then, the electrical connector does not need to be physically in communication with the cannula, but can be wirelessly connected to the wire via a transceiver system.
• the electrical connection can be a cannula area where the electrical material is easily accessible. This area can be designed as a sliding contact in order to be able to attach an extension of the contact in this area.
• This sliding contact can be designed as an electrically conductive ring. This makes it possible to use the contact for attaching a cable, while the cannula is changed only by the visible electrical connection area.
• This sliding contact can also be designed as a cylindrical or conical sleeve. A conical sleeve makes it easy to simply attach an open ring to the sliding contact.
• the cannula has an RFID element that is electrically conductively connected to the electrical connection. This makes it possible to record data on the cannula and later transfer this data cable-bound or wirelessly to a computer or to a console. Further, cumulatively or alternatively to the RFID element, a data memory or a data processing device, such as a microchip, can be incorporated into the cannula in order to already process the data acquired with the cannula.
• the cannula can also have a further electrical connection, which has no electrically conductive connection to the wire.
• This electrical connection can serve as a second electrode and be connected to a contact surface which can come into contact with the skin in a human or animal. It can serve as a second electrode and thus as an alternative to the ECG patch to realize the connection with the skin, since in the use of the cannula between the first electrode, that is the electrically conductive material, and the second electrode depending on the position the cannula forms variable capacitor.
• the cannula has a cable or a plug or a socket, wherein the plug or the socket with the cable and the cable with the electrical connection are electrically connected.
• the object underlying the invention is also achieved with a cannula system having such a cannula, which has an electrical contact surface which can be fastened to a body surface and a measuring device which is electrically connected to the electrical contact surface and the connection.
• connection of the measuring device with an electrical contact surface and the connection of the wire makes it possible to detect potential differences between the electrical contact surface and the wire via the measuring device.
• the measuring device is used to determine the electrical capacitance.
• the ohmic resistance, an impedance or another electrical potential or a potential change can also be determined.
• the cannula system can determine when the cannula is moving relative to the electrical contact surface. This makes it possible to easily detect a dislocation of a cannula. In particular, in a cannula arranged in a vessel, a Dislocation indicate that the cannula has moved out of a vessel. Therefore, it is advantageous if such a dislocation can be determined quickly and easily.
• the measurement of the determined potential or a potential change makes it possible to specify precisely how far a change in position of the cannula has progressed.
• the determination of the distance of the cannula to the electrical contact surface allows a conclusion about the position of the cannula within and possibly also already outside of a vessel.
• the electrical contact surface can also be connected to the meter via a transmitter. However, it can also be connected in a simple manner wired to the meter.
• the cannula system has a computer and a signal device which are connected to the measuring device.
• the calculator is usually arranged in a medical console. This makes it possible to trigger a signal when exceeding a predetermined electrical measurement, which prompts the medical staff to check the position of the cannula.
• the signaling device can emit different signals and have different signal transmitters for optical or acoustic signals, for example.
• the invention also relates to a method for determining the position of a cannula within a body part, in which an electrical contact surface is fastened to the body part and an electrical measured value is determined between the electrical contact surface and a cannula pushed into the body part.
• a method for determining the position of a cannula within a body part in which an electrical contact surface is fastened to the body part and an electrical measured value is determined between the electrical contact surface and a cannula pushed into the body part.
• Such a method makes it possible to easily monitor the position of the cannula in a vessel. In order to then bring the cannula back into the correct position in good time, it is proposed that the electrical measured value be compared with a comparison value and an alarm be triggered when it is exceeded.
• FIG. 1 shows schematically a section through a wire-reinforced cannula
• FIG. 2 shows a wire-reinforced cannula with electrical connection
• FIG. 3 shows a plan view of a wire-reinforced cannula
• FIG. 4 schematically shows a view of an electrical capacitor
• Figure 5 schematically shows a cannula system with cannula, electrical contact surface and
• FIG. 6 shows the cannula system shown in FIG. 5 with the cannula partially withdrawn
• FIG. 7 shows the cannula system shown in FIG. 5 with the tube completely pulled out
• FIG. 8 shows a cannula with an electrically conductive material of cylindrical design along the cannula
• FIG. 9 enlarges the area of the cannula shown in FIG. 8 with electrical
• FIG. 10 shows an alternative embodiment of the cannula with electrical connection with bushing shown in FIG.
• FIG. 11 shows a plug connector adapter
• FIG. 12 enlarges the area of the electrical connection
• FIG. 13 shows a cable with ring holder and bushing
• FIG. 14 shows the cable shown in FIG. 13 on the cannula
• Figure 15 enlarges a section through the area of the system of the cable to the
• Figure 16 shows the interaction of the cable shown in Figure 13 with an electrically conductive ring as part of the cannula
• FIG. 17 shows the interaction of the cable shown in FIG. 13 with a cannula according to FIG. 3 with helical wire.
• the cannula 1 shown in Figure 1 has a polyurethane outer shell 2 and a polyurethane inner shell 3, which form an electrical insulation. In between, a wire 4 is arranged spirally in the longitudinal direction of the cannula as electrically conductive material.
• FIG. 2 shows how the wire 4 is visibly placed around the polyurethane inner casing 3 in closely adjacent turns and is protected by the polyurethane outer casing 2.
• FIG. 3 it is shown how the wire 4 at one end of the cannula 1 is guided through the outer polyurethane sheath 2 to form an electrical connection 5, at which an electric potential is tapped with a cable 6 can be passed through the connector 7 to a meter 8.
• FIG. 4 shows, on the schematic illustration of a capacitor, how the polyurethane outer jacket 2 of the cannula 1 acts as a dielectric 10, the reinforcing wire 4 corresponds to a first electrode 11 and the body vessel corresponds to a second electrode 12.
• the electrical contact surface 14 is glued, for example, with an ECG patch on a skin area 15 in the vicinity of a vessel (not shown). Subsequently, the cannula is positioned in the body part 16 and in particular in a vessel, wherein the cannula 1 is pushed into the vicinity of the contact surface 14. In this case, the cannula 1 is connected to the electrical measuring device 8 via the electrical connection 5 and the line 7, while the electrical contact surface 14 is connected via a line 17 to the meter 8.
• the measuring device 8 displays a value of the measured capacity. This value is in the exemplary embodiment at 0.14 nF. This value is approximately proportional to the length 19, over which the cannula 1 is inserted into the body part 16.
• the length 19 is reduced to a length 20 and thereby also the electrical capacitance which decreases on the measuring device 8 is shown.
• the length 19 is reduced to about half its length 20 and the capacitance decreases from 0.14 nF to 0.07 nF.
• FIG. 7 shows the case in which the cannula 1 is completely pulled out of the body part 16. This reduces the measured capacitance to 0.00 nF.
• the measured value 21 determined with the measuring device 8 is transmitted to a computer 22, which compares the measured value with a predetermined measured value. If it falls below a threshold, the computer 22 activates a signaling device 23, which can give an optical and / or acoustic signal, for example.
• the signaling device may also be a hospital alarm or monitoring system. This informs the medical staff that the position of the cannula should be checked.
• the computer 22 can also store the measured values determined over a period of time in order to demonstrate in a comprehensible manner how the cannula was moved relative to the body part 16.
• FIG. 8 shows a cannula 30 with a cylindrical electrically conductive material 31 and an RFID chip 32 along the cannula.
• This RFID chip 32 with its connection to the material 31, is inserted inside the cannula and the RFID The chip is positioned on the cannula such that it is outside the body when positioning the cannula in a body.
• FIG. 9 shows a cannula 40 with an electrical connection 41, to which a cable 42 is soldered.
• the cable 42 is a plug 43, which serves the connection to the meter 8.
• FIG. 45 An alternative embodiment of a cannula 50 is shown in FIG.
• the cable 52 is extended and is connected via the electrical connection 1 with the electrically conductive material 53 in connection.
• a bushing 54 At the end of the cable 52 is a bushing 54, which can also be used as a plug via the connecting piece 55 shown in FIG.
• Such cannulas can be easily manufactured to be used as disposable.
• FIG. 12 shows a portion of a cannula 50 made of a polyurethane material 56.
• a metallic cannula reinforcement 57 which acts as a sensor element and is integrated into the cannula wall so as to be electrically insulated outwardly and inwardly is.
• An accessible metallized electrically conductive region 58 in the cannula surface of biocompatible material is electrically connected to the sensor element.
• the cable 52 is soldered.
• FIGS. 13 to 17 provide a cable 60 with a slip ring 61 and a bushing 62, which can be disinfected and autoclavable as a reusable unit.
• This cable 60 can be fastened via the slip ring 61 in a simple manner with an electrically conductive ring 63 with a conical sleeve 64.
• FIG. 15 shows how the ring 61 can be pushed onto the conical sleeve 64 in order to generate an electric current Allow contact between the electrically conductive material 65 and the cable 60 via the ring 61.
• FIG. 16 shows the attachment of the cable 60 to a ring 64 detached from the cannula.
• the ring 61 can also interact directly with a wire 71 guided spirally in a cannula 70 in a region 73 freed from the insulation 72.

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• Health & Medical Sciences (AREA)
• Life Sciences & Earth Sciences (AREA)
• Engineering & Computer Science (AREA)
• Veterinary Medicine (AREA)
• Animal Behavior & Ethology (AREA)
• Biophysics (AREA)
• Public Health (AREA)
• Biomedical Technology (AREA)
• Heart & Thoracic Surgery (AREA)
• General Health & Medical Sciences (AREA)
• Molecular Biology (AREA)
• Surgery (AREA)
• Physics & Mathematics (AREA)
• Medical Informatics (AREA)
• Pathology (AREA)
• Pulmonology (AREA)
• Anesthesiology (AREA)
• Hematology (AREA)
• Human Computer Interaction (AREA)
• Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
• Radiology & Medical Imaging (AREA)
• Media Introduction/Drainage Providing Device (AREA)
• Measuring And Recording Apparatus For Diagnosis (AREA)

Applications Claiming Priority (3)

Publications (1)

Family

ID=62509851

Family Applications (1)

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• 2017
  • 2017-05-12 DE DE102017004548.8A patent/DE102017004548A1/de active Pending
  • 2017-12-11 CN CN201780079747.2A patent/CN110325102B/zh active Active
  • 2017-12-11 US US16/472,420 patent/US11590318B2/en active Active
  • 2017-12-11 JP JP2019532950A patent/JP2020512049A/ja active Pending
  • 2017-12-11 EP EP17844617.5A patent/EP3558100A1/de active Pending
  • 2017-12-11 WO PCT/DE2017/000417 patent/WO2018113809A1/de unknown

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