HRP20210278T1 - Uređaj za vaskularni i peritonealni pristup i uređaj za hemodijalizu - Google Patents

Uređaj za vaskularni i peritonealni pristup i uređaj za hemodijalizu Download PDF

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Publication number
HRP20210278T1
HRP20210278T1 HRP20210278TT HRP20210278T HRP20210278T1 HR P20210278 T1 HRP20210278 T1 HR P20210278T1 HR P20210278T T HRP20210278T T HR P20210278TT HR P20210278 T HRP20210278 T HR P20210278T HR P20210278 T1 HRP20210278 T1 HR P20210278T1
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Croatia
Prior art keywords
distal
insert
proximal
venous
valve plug
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HRP20210278TT
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English (en)
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Dan Lundgren
Rickard Nyman
Morgan ANKARBRANTH
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Transcutan Ab
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Publication of HRP20210278T1 publication Critical patent/HRP20210278T1/hr

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    • 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
    • A61M39/00—Tubes, tube connectors, tube couplings, valves, access sites or the like, specially adapted for medical use
    • A61M39/02—Access sites
    • A61M39/0247—Semi-permanent or permanent transcutaneous or percutaneous access sites to the inside of the body
    • 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
    • A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/14—Dialysis systems; Artificial kidneys; Blood oxygenators ; Reciprocating systems for treatment of body fluids, e.g. single needle systems for hemofiltration or pheresis
    • A61M1/28—Peritoneal dialysis ; Other peritoneal treatment, e.g. oxygenation
    • A61M1/285—Catheters therefor
    • 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
    • A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/36—Other treatment of blood in a by-pass of the natural circulatory system, e.g. temperature adaptation, irradiation ; Extra-corporeal blood circuits
    • A61M1/3621—Extra-corporeal blood circuits
    • A61M1/3653—Interfaces between patient blood circulation and extra-corporal blood circuit
    • A61M1/3655—Arterio-venous shunts or fistulae
    • 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
    • A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/36—Other treatment of blood in a by-pass of the natural circulatory system, e.g. temperature adaptation, irradiation ; Extra-corporeal blood circuits
    • A61M1/3621—Extra-corporeal blood circuits
    • A61M1/3653—Interfaces between patient blood circulation and extra-corporal blood circuit
    • A61M1/3659—Cannulae pertaining to extracorporeal circulation
    • A61M1/3661—Cannulae pertaining to extracorporeal circulation for haemodialysis
    • 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
    • A61M39/00—Tubes, tube connectors, tube couplings, valves, access sites or the like, specially adapted for medical use
    • A61M39/02—Access sites
    • 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
    • A61M39/00—Tubes, tube connectors, tube couplings, valves, access sites or the like, specially adapted for medical use
    • A61M39/10—Tube connectors; Tube couplings
    • A61M39/105—Multi-channel connectors or couplings, e.g. for connecting multi-lumen tubes
    • 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
    • A61M39/00—Tubes, tube connectors, tube couplings, valves, access sites or the like, specially adapted for medical use
    • A61M39/22—Valves or arrangement of valves
    • A61M39/26—Valves closing automatically on disconnecting the line and opening on reconnection thereof
    • 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
    • A61M5/00—Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
    • A61M5/14—Infusion devices, e.g. infusing by gravity; Blood infusion; Accessories therefor
    • 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
    • A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/36—Other treatment of blood in a by-pass of the natural circulatory system, e.g. temperature adaptation, irradiation ; Extra-corporeal blood circuits
    • A61M1/3621—Extra-corporeal blood circuits
    • A61M1/3653—Interfaces between patient blood circulation and extra-corporal blood circuit
    • 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
    • A61M39/00—Tubes, tube connectors, tube couplings, valves, access sites or the like, specially adapted for medical use
    • A61M39/02—Access sites
    • A61M39/0247—Semi-permanent or permanent transcutaneous or percutaneous access sites to the inside of the body
    • A61M2039/0255—Semi-permanent or permanent transcutaneous or percutaneous access sites to the inside of the body for access to the gastric or digestive system
    • 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
    • A61M39/00—Tubes, tube connectors, tube couplings, valves, access sites or the like, specially adapted for medical use
    • A61M39/02—Access sites
    • A61M39/0247—Semi-permanent or permanent transcutaneous or percutaneous access sites to the inside of the body
    • A61M2039/0258—Semi-permanent or permanent transcutaneous or percutaneous access sites to the inside of the body for vascular access, e.g. blood stream access
    • 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
    • A61M39/00—Tubes, tube connectors, tube couplings, valves, access sites or the like, specially adapted for medical use
    • A61M39/02—Access sites
    • A61M39/0247—Semi-permanent or permanent transcutaneous or percutaneous access sites to the inside of the body
    • A61M2039/0264—Semi-permanent or permanent transcutaneous or percutaneous access sites to the inside of the body with multiple inlets or multiple outlets
    • 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
    • A61M39/00—Tubes, tube connectors, tube couplings, valves, access sites or the like, specially adapted for medical use
    • A61M39/02—Access sites
    • A61M39/0247—Semi-permanent or permanent transcutaneous or percutaneous access sites to the inside of the body
    • A61M2039/027—Semi-permanent or permanent transcutaneous or percutaneous access sites to the inside of the body having a particular valve, seal or septum
    • 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
    • A61M39/00—Tubes, tube connectors, tube couplings, valves, access sites or the like, specially adapted for medical use
    • A61M39/02—Access sites
    • A61M39/0247—Semi-permanent or permanent transcutaneous or percutaneous access sites to the inside of the body
    • A61M2039/0273—Semi-permanent or permanent transcutaneous or percutaneous access sites to the inside of the body for introducing catheters into the body
    • 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
    • A61M39/00—Tubes, tube connectors, tube couplings, valves, access sites or the like, specially adapted for medical use
    • A61M39/02—Access sites
    • A61M39/0247—Semi-permanent or permanent transcutaneous or percutaneous access sites to the inside of the body
    • A61M2039/0276—Semi-permanent or permanent transcutaneous or percutaneous access sites to the inside of the body for introducing or removing fluids into or out of the body
    • 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
    • A61M39/00—Tubes, tube connectors, tube couplings, valves, access sites or the like, specially adapted for medical use
    • A61M39/02—Access sites
    • A61M39/0247—Semi-permanent or permanent transcutaneous or percutaneous access sites to the inside of the body
    • A61M2039/0282—Semi-permanent or permanent transcutaneous or percutaneous access sites to the inside of the body with implanted tubes connected to the port
    • 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
    • A61M39/00—Tubes, tube connectors, tube couplings, valves, access sites or the like, specially adapted for medical use
    • A61M39/10—Tube connectors; Tube couplings
    • A61M2039/1033—Swivel nut connectors, e.g. threaded connectors, bayonet-connectors

Landscapes

  • Health & Medical Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Biomedical Technology (AREA)
  • Hematology (AREA)
  • Engineering & Computer Science (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Anesthesiology (AREA)
  • Vascular Medicine (AREA)
  • Pulmonology (AREA)
  • Urology & Nephrology (AREA)
  • Emergency Medicine (AREA)
  • Cardiology (AREA)
  • Biophysics (AREA)
  • Gastroenterology & Hepatology (AREA)
  • External Artificial Organs (AREA)
  • Infusion, Injection, And Reservoir Apparatuses (AREA)

Claims (10)

1. Pristupni uređaj za venski ili peritonealni pristup, koji sadrži sljedeće: – kućište (2) koje sadrži prazninu s distalnim otvorom (11') i proksimalnim otvorom (11"); – umetak (3, 103) za umetanje u kućište (2) kroz proksimalni otvor (11") koji sadrži distalnu (14) i proksimalnu (15) stranu; – dio za venski ili peritonealni pristup (44, 45) koji je pričvršćen na distalnu stranu (14) umetka (3) na proksimalnom kraju dijela za pristup; – čep cilindričnog ventila (4) koji se može postaviti u cilindrični utor (16) na proksimalnoj strani (15) umetka (3); – jednu ili dvije cijevi za umetanje (12, 13) koje se nalaze u umetku te se protežu od cilindričnog utora na proksimalnoj strani do distalne strane; – ventil koji nastaje spajanjem cilindričnog utora (16) i čepa cilindričnog ventila (4) te se može otvoriti i zatvoriti okretanjem čepa cilindričnog ventila (4); pri čemu se nakon ugradnje kućišta (2) distalni otvor (11') postavlja tako da je okrenut prema mekom tkivu pacijenta, a proksimalni otvor (11") postavlja se suprotno od pacijenta te pri čemu se umetak (3) s dijelom za venski ili peritonealni pristup može postaviti u kućište tako da se dio za venski ili peritonealni pristup (44, 45) najprije umetne u proksimalni otvor (11"), čime se omogućuje prolazak dijela za venski ili peritonealni pristup (44, 45) kroz distalni otvor (11').
2. Uređaj iz zahtjeva 1., pri čemu čep ventila (4) sadrži jednu ili dvije cijevi (17, 18) koje su spojene s jednom ili dvjema cijevima (12, 13) umetka (2) kada je čep ventila (4) otvoren.
3. Uređaj iz zahtjeva 2., pri čemu uređaj (1) sadrži izvantjelesni priključak (5), koji sadrži distalni krajnji dio (22) koji se može postaviti u utor čepa ventila (21) na ventilu (4), te priključak (5) sadrži jednu ili dvije cijevi priključka (23, 24) koje su osmišljene tako da se zajedno spoje s jednom ili dvjema odgovarajućim cijevima (17, 18) ventila (4) na distalnim otvorima.
4. Uređaj iz zahtjeva 3. sadrži sredstvo za kontrolu umetanja priključka (5; 105) u utor čepa ventila (21; 121) tako da se umetanje ili vađenje može izvršiti samo kada je čep ventila (4; 104) zatvoren, pri čemu sredstvo za kontrolu umetanja čini dio za ograničavanje rotacije (6).
5. Uređaj iz zahtjeva 4., pri čemu je dio za ograničavanje rotacije (6) sredstvo za ograničavanje rotacije priključka (5; 105).
6. Uređaj iz zahtjeva 5., pri čemu dio za ograničavanje rotacije (6) sadrži jednu ili više izbočina (26, 26') koje se nalaze na distalnim dijelovima (32, 33) središnjeg utora (34) dijela za ograničavanje rotacije (6), a izbočine (26, 26') funkcioniraju zajedno s jednim krilcem ili više njih (25, 25') koji se nalaze na cilindričnom dijelu (27) priključka (5; 105).
7. Uređaj iz zahtjeva 6., pri čemu sredstvo za kontrolu umetanja sadrži jedan ili više utora (28, 29) koji se aksijalno protežu u stijenci središnjeg utora (34) i mogu funkcionirati zajedno s krilcem ili krilcima (25, 25') priključka (5; 105) te pri čemu je potpuno umetanje priključka (5; 105) moguće samo kada je čep ventila (4; 104) zatvoren.
8. Uređaj iz bilo kojeg zahtjeva od 4. do 7., pri čemu dio za ograničavanje rotacije (6) sadrži poklopac (7) koji se može postaviti na proksimalnu izvantjelesnu stranu (35) kućišta (2) i ukloniti s nje.
9. Uređaj iz zahtjeva 8., pri čemu poklopac (7) sadrži zaštitu i dio za postavljanje (8) u koji je ugrađen dio za ograničavanje rotacije (6).
10. Umetak (103) za uređaj za venski ili peritonealni pristup (101) kako je definirano u bilo kojem od zahtjeva od 1. do 9.
HRP20210278TT 2014-03-11 2021-02-18 Uređaj za vaskularni i peritonealni pristup i uređaj za hemodijalizu HRP20210278T1 (hr)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
SE1400131 2014-03-11
EP15761595.6A EP3116587B1 (en) 2014-03-11 2015-03-10 Device for vascular and peritoneal access and a device for hemodialysis
PCT/SE2015/000014 WO2015137859A1 (en) 2014-03-11 2015-03-10 Device for vascular and peritoneal access and a device for hemodialysis

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HRP20210278T1 true HRP20210278T1 (hr) 2021-04-02

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US (1) US10493258B2 (hr)
EP (1) EP3116587B1 (hr)
JP (1) JP6438970B2 (hr)
KR (1) KR102329664B1 (hr)
CN (1) CN106102819B (hr)
AU (1) AU2015230067B2 (hr)
BR (1) BR112016018749B1 (hr)
CA (1) CA2941089C (hr)
CY (1) CY1124003T1 (hr)
DK (1) DK3116587T3 (hr)
EA (1) EA030294B1 (hr)
ES (1) ES2855029T3 (hr)
HR (1) HRP20210278T1 (hr)
HU (1) HUE053559T2 (hr)
LT (1) LT3116587T (hr)
PL (1) PL3116587T3 (hr)
PT (1) PT3116587T (hr)
RS (1) RS61461B1 (hr)
SI (1) SI3116587T1 (hr)
WO (1) WO2015137859A1 (hr)

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DK3116587T3 (da) 2021-02-15
JP2017512094A (ja) 2017-05-18
CY1124003T1 (el) 2022-05-27
PL3116587T3 (pl) 2021-05-17
PT3116587T (pt) 2021-02-18
KR102329664B1 (ko) 2021-11-19
AU2015230067B2 (en) 2017-04-13
CN106102819A (zh) 2016-11-09
AU2015230067A1 (en) 2016-08-04
CA2941089A1 (en) 2015-09-17
EP3116587B1 (en) 2020-12-09
ES2855029T3 (es) 2021-09-23
KR20160130775A (ko) 2016-11-14
EA030294B1 (ru) 2018-07-31
SI3116587T1 (sl) 2021-04-30
EP3116587A4 (en) 2018-05-09
US10493258B2 (en) 2019-12-03
BR112016018749B1 (pt) 2022-02-01
BR112016018749A2 (hr) 2017-08-08
LT3116587T (lt) 2021-03-10
JP6438970B2 (ja) 2018-12-19
WO2015137859A1 (en) 2015-09-17
HUE053559T2 (hu) 2021-07-28
EA201691341A1 (ru) 2017-02-28
CN106102819B (zh) 2019-10-29
EP3116587A1 (en) 2017-01-18
RS61461B1 (sr) 2021-03-31
CA2941089C (en) 2018-06-12
US20170014612A1 (en) 2017-01-19

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