JP2009506809A - 穿刺創傷の生成方法およびそれに好適な携帯装置 - Google Patents
穿刺創傷の生成方法およびそれに好適な携帯装置 Download PDFInfo
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/15—Devices for taking samples of blood
- A61B5/157—Devices characterised by integrated means for measuring characteristics of blood
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/15—Devices for taking samples of blood
- A61B5/150007—Details
- A61B5/150015—Source of blood
- A61B5/150022—Source of blood for capillary blood or interstitial fluid
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/15—Devices for taking samples of blood
- A61B5/150007—Details
- A61B5/150053—Details for enhanced collection of blood or interstitial fluid at the sample site, e.g. by applying compression, heat, vibration, ultrasound, suction or vacuum to tissue; for reduction of pain or discomfort; Skin piercing elements, e.g. blades, needles, lancets or canulas, with adjustable piercing speed
- A61B5/150061—Means for enhancing collection
- A61B5/150068—Means for enhancing collection by tissue compression, e.g. with specially designed surface of device contacting the skin area to be pierced
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/15—Devices for taking samples of blood
- A61B5/150007—Details
- A61B5/150053—Details for enhanced collection of blood or interstitial fluid at the sample site, e.g. by applying compression, heat, vibration, ultrasound, suction or vacuum to tissue; for reduction of pain or discomfort; Skin piercing elements, e.g. blades, needles, lancets or canulas, with adjustable piercing speed
- A61B5/150106—Means for reducing pain or discomfort applied before puncturing; desensitising the skin at the location where body is to be pierced
- A61B5/150152—Means for reducing pain or discomfort applied before puncturing; desensitising the skin at the location where body is to be pierced by an adequate mechanical impact on the puncturing location
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/15—Devices for taking samples of blood
- A61B5/150007—Details
- A61B5/150175—Adjustment of penetration depth
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/15—Devices for taking samples of blood
- A61B5/150007—Details
- A61B5/150374—Details of piercing elements or protective means for preventing accidental injuries by such piercing elements
- A61B5/150381—Design of piercing elements
- A61B5/150412—Pointed piercing elements, e.g. needles, lancets for piercing the skin
- A61B5/150419—Pointed piercing elements, e.g. needles, lancets for piercing the skin comprising means for capillary action
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/15—Devices for taking samples of blood
- A61B5/150007—Details
- A61B5/150374—Details of piercing elements or protective means for preventing accidental injuries by such piercing elements
- A61B5/150381—Design of piercing elements
- A61B5/150412—Pointed piercing elements, e.g. needles, lancets for piercing the skin
- A61B5/150427—Specific tip design, e.g. for improved penetration characteristics
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/15—Devices for taking samples of blood
- A61B5/150007—Details
- A61B5/150374—Details of piercing elements or protective means for preventing accidental injuries by such piercing elements
- A61B5/150381—Design of piercing elements
- A61B5/150503—Single-ended needles
- A61B5/150511—Details of construction of shaft
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/15—Devices for taking samples of blood
- A61B5/151—Devices specially adapted for taking samples of capillary blood, e.g. by lancets, needles or blades
- A61B5/15101—Details
- A61B5/15115—Driving means for propelling the piercing element to pierce the skin, e.g. comprising mechanisms based on shape memory alloys, magnetism, solenoids, piezoelectric effect, biased elements, resilient elements, vacuum or compressed fluids
- A61B5/15123—Driving means for propelling the piercing element to pierce the skin, e.g. comprising mechanisms based on shape memory alloys, magnetism, solenoids, piezoelectric effect, biased elements, resilient elements, vacuum or compressed fluids comprising magnets or solenoids
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/15—Devices for taking samples of blood
- A61B5/151—Devices specially adapted for taking samples of capillary blood, e.g. by lancets, needles or blades
- A61B5/15186—Devices loaded with a single lancet, i.e. a single lancet with or without a casing is loaded into a reusable drive device and then discarded after use; drive devices reloadable for multiple use
- A61B5/15188—Constructional features of reusable driving devices
- A61B5/1519—Constructional features of reusable driving devices comprising driving means, e.g. a spring, for propelling the piercing unit
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/15—Devices for taking samples of blood
- A61B5/151—Devices specially adapted for taking samples of capillary blood, e.g. by lancets, needles or blades
- A61B5/15186—Devices loaded with a single lancet, i.e. a single lancet with or without a casing is loaded into a reusable drive device and then discarded after use; drive devices reloadable for multiple use
- A61B5/15188—Constructional features of reusable driving devices
- A61B5/15192—Constructional features of reusable driving devices comprising driving means, e.g. a spring, for retracting the lancet unit into the driving device housing
- A61B5/15194—Constructional features of reusable driving devices comprising driving means, e.g. a spring, for retracting the lancet unit into the driving device housing fully automatically retracted, i.e. the retraction does not require a deliberate action by the user, e.g. by terminating the contact with the patient's skin
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- Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
- Y10—TECHNICAL SUBJECTS COVERED BY FORMER USPC
- Y10T—TECHNICAL SUBJECTS COVERED BY FORMER US CLASSIFICATION
- Y10T83/00—Cutting
- Y10T83/04—Processes
- Y10T83/0481—Puncturing
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Abstract
Description
Claims (22)
- 皮膚開口工程で表皮(20)内の穿刺部位に皮膚開口(21)が生成され、その後に試料採取工程で穿刺部材(11)を利用して試料採取穿刺が実施され、穿刺部材(11)を用いて皮膚開口が深められ、それによって試料採取のための穿刺創傷が生成される、身体部位から体液の試料を採取するための穿刺創傷の生成方法。
- 皮膚開口工程の終了と試料採取工程の開始とのあいだに1ミリ秒〜1秒、好ましくは1ミリ秒〜30ミリ秒の時間間隔があることを特徴とする請求項1記載の方法。
- 皮膚開口工程において別の手段が穿刺部材(11)として使用されることを特徴とする請求項1または2記載の方法。
- 皮膚開口工程と試料採取工程において同じ穿刺部材(11)が使用され、皮膚開口工程の終了時に制動され、好ましくは停止され、かつ試料採取工程で新たに加速されることを特徴とする請求項1〜3のいずれか1項に記載の方法。
- 穿刺部材(11)が停止後に引き戻され、好ましくは完全に表皮(20)から引き出されることを特徴とする請求項4記載の方法。
- 穿刺部材(11)が皮膚開口工程の前に皮膚表面(20)へ近接させられ、電気的測定を利用して、皮膚表面(20)の位置が穿刺部位で使用した装置の一定の基準点との関係で決定されることを特徴とする請求項1〜5のいずれか1項に記載の方法。
- 穿刺部材(11)が電子的測定において電極として使用され、その後穿刺部材(11)が皮膚開口工程のために出発位置に引き戻されることを特徴とする請求項6記載の方法。
- 穿刺部材(11)が試料採取工程で皮膚開口が深められた後、その尖端がまだ皮膚(20)内にある収集位置へ引き戻され、前記穿刺部材(11)が収集位置に到達したときに制動され、それに続き、前記尖端が完全に皮膚(20)から引き出される前に、その尖端が収集段階中に皮膚(20)内にとどまることを特徴とする請求項1〜7のいずれか1項に記載の方法。
- 皮膚開口工程で生成された皮膚開口(21)が完全に表皮内にあり、試料採取工程で初めて血液を提供する組織に到達することを特徴とする請求項1〜8のいずれか1項に記載の方法。
- 皮膚開口工程で生成された皮膚開口(21)が0.4mm〜2.0mm、好ましくは少なくとも0.8mm、最大1.2mmの深さ(A)を有することを特徴とする請求項1〜9のいずれか1項に記載の方法。
- 穿刺部材(11)と、前記穿刺部材(11)が皮膚の方向へ移動可能であり、かつ皮膚から離れる方向へ移動可能である駆動装置(10)と、穿刺部材(11)の運動の制御のための制御装置(15)とを含む穿刺創傷の生成のための、特に請求項1〜10のいずれか1項に記載の方法の実施のために形成された携帯装置であって、
前記携帯装置が皮膚開口工程で表皮(20)内の穿刺部位に皮膚開口(21)を生成する手段を有し、かつ皮膚開口工程後に試料採取工程で穿刺部材(11)を利用して試料採取穿刺が実施されるように制御装置(15)が設置されており、前記穿刺部材(11)を用いて皮膚開口(21)が深められ、このように試料採取のための穿刺創傷が生成されることを特徴とする携帯装置。 - 皮膚開口(21)を生成する手段がレーザを含むことを特徴とする請求項11記載の携帯装置。
- 皮膚開口工程と試料採取工程に対して同じ穿刺部材(11)が使用され、皮膚開口工程の終了時に制御装置(15)により制動され、好ましくは停止され、かつ試料採取工程で新たに加速されるように該制御装置が設置されることを特徴とする請求項11または12記載の携帯装置。
- 駆動装置が駆動力発生用の駆動バネと、駆動力の作用下に回転運動を実施する駆動ロータとを含み、制御装置が駆動ロータと結合された曲線制御部を含み、該曲線制御部によって駆動ロータの回転運動が皮膚の方向および皮膚から離れる方向への穿刺部材(11)の運動に変換されることを特徴とする請求項11〜13のいずれか1項に記載の携帯装置。
- 曲線制御部が駆動ロータの回転運動時に制御曲線を出す制御曲線小塔部を有することを特徴とする請求項14記載の携帯装置。
- 制御曲線が皮膚開口(21)の生成のための第1の極大値と、穿刺創傷の生成のための第2の極大値とを有する推移を有することを特徴とする請求項15記載の携帯装置。
- 少なくとも制御曲線の第1の極大値と同じ大きさの穿刺部材(11)の行程が制御曲線の第2の極大値と関係していることを特徴とする請求項16記載の携帯装置。
- 制御曲線が駆動ロータの少なくとも360°の回転角度を含むことを特徴とする請求項14〜17のいずれか1項に記載の携帯装置。
- 駆動バネの弛緩によって駆動ロータの360°以上、好ましくは少なくとも540°の回転運動を生ぜしめられ、その際に制御曲線小塔部が制御曲線の360°以上、好ましくは少なくとも540°の回転角度で出ることを特徴とする請求項18記載の携帯装置。
- 制御曲線が開いた制御曲線であることを特徴とする請求項15〜19のいずれか1項に記載の携帯装置。
- 駆動ロータが駆動バネの弛緩時に第1の回転方向に回転し、駆動バネの緊張のための駆動ロータが第1の回転方向と反対になる第2の回転方向に回転されることを特徴とする請求項14〜20のいずれか1項に記載の携帯装置。
- 携帯装置が、穿刺創傷が生成されるべき身体部位に当接するための押圧リング(6)を備えたケース開口部(3)を有することを特徴とする請求項11〜21のいずれか1項に記載の携帯装置。
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
EP05019190A EP1759635A1 (de) | 2005-09-03 | 2005-09-03 | Verfahren zum Erzeugen einer Einstichwunde und dafür geeignetes Handgerät |
PCT/EP2006/007779 WO2007025635A1 (de) | 2005-09-03 | 2006-08-05 | Verfahren zum erzeugen einer einstichwunde und dafür geeignetes handgerät |
Publications (2)
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JP2009506809A true JP2009506809A (ja) | 2009-02-19 |
JP2009506809A5 JP2009506809A5 (ja) | 2009-04-30 |
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JP2008528374A Pending JP2009506809A (ja) | 2005-09-03 | 2006-08-05 | 穿刺創傷の生成方法およびそれに好適な携帯装置 |
Country Status (11)
Country | Link |
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US (1) | US8394117B2 (ja) |
EP (2) | EP1759635A1 (ja) |
JP (1) | JP2009506809A (ja) |
CN (1) | CN101257850B (ja) |
AT (1) | ATE418289T1 (ja) |
AU (1) | AU2006286841B2 (ja) |
CA (1) | CA2619746A1 (ja) |
DE (1) | DE502006002459D1 (ja) |
ES (1) | ES2317568T3 (ja) |
HK (1) | HK1124503A1 (ja) |
WO (1) | WO2007025635A1 (ja) |
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- 2006-08-05 ES ES06776642T patent/ES2317568T3/es active Active
- 2006-08-05 WO PCT/EP2006/007779 patent/WO2007025635A1/de active Application Filing
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ATE418289T1 (de) | 2009-01-15 |
DE502006002459D1 (de) | 2009-02-05 |
US20080208079A1 (en) | 2008-08-28 |
AU2006286841B2 (en) | 2009-10-29 |
CA2619746A1 (en) | 2007-03-08 |
EP1759635A1 (de) | 2007-03-07 |
CN101257850B (zh) | 2010-07-14 |
HK1124503A1 (en) | 2009-07-17 |
US8394117B2 (en) | 2013-03-12 |
CN101257850A (zh) | 2008-09-03 |
ES2317568T3 (es) | 2009-04-16 |
EP1921992A1 (de) | 2008-05-21 |
WO2007025635A1 (de) | 2007-03-08 |
EP1921992B1 (de) | 2008-12-24 |
AU2006286841A1 (en) | 2007-03-08 |
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